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Certificates of InsuranceCERTIFICATE OF INSURANCE SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER WILL NOT BE CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois, or 0 STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois has coverage in force for the /folllloo Z'i�e Named Inured as sho n below: Named Insured (/ �fP_/7. /V��f� �, P L V- Address of Named Insured —Rn g0k 25�� e y(.Qr o Fla - 33037 N POLICY NUMBER 012, O 17,5 /_ 1 / (P ! /o5 lie% Qli Y� (/ i '+. E /,, .1,- EFFECTIVE DATE OF POLICY ' 0 d / 6y°°" DESCRIPTION OF VEHICLE 99 /eb�. /� 11 `� ( 99 LIABILITY COVERAGE YES NO YES 0 NO YES 0 NO YES Q NO LIMITS OF LIABILITY M�t4 a. Bodily Injury Each Person t7d 0 Q 0 / 0 6 / 00 Ci Each Accident 3001 0 0 V 3od �Q Q b. Property Damage Each Accident ''\\ SO 0 U 0© 0 C. Bodily Injury & Property Damage Single Limit j Each Accident ln �i1n ( M /'� 1 PHYSICAL DAMAGE COVERAGES EXYES NO YES NO YES NO 0 YES NO a. Comprehensive $ !Z_SZ Deductible YES NO $ ISO Deductible $ Z Deductible $ Deductible b. Collision $ _� Deductible 19 YES� NO $ Deductible YES NO Z00 0 YES � NO EMPLOYER'S $ Deductible $ Deductible NON -OWNERSHIP COVERAGE YES ® NO = YES NO 0 YES NO 0 YES NO HIRED CAR COVERA Y S O = YES � NO 0 YES EX NO= YES NO n , Signature M Authorized Representative /770 iU rrf- Z 753 8 Z9 O b t Title Agent's Code Number Date Name and Address of Certificate Holder F_ ADD ' jA Name and Address of Agent 5100 C'o/le9G Aad. y Wesl .3--s� �,,'TE FARM INSURANCE ra>�A0 T. WALUE AOFF �t•r 1 8383 CIE 18TH Ha. �'. MIAMI BEACH, FL 331 r? L_ CERTIFICATE HOLDER COPY ACC PRODUCER (305)247-5121 FAX (305)248-8543 .R. Jones & Company 1780 North Krome Avenue Homestead, FL 33030 Attn: Jerri Moor Ext: ............................................................................................................................... INSURED L & N Dependable Janitorial, Inc PO Box 2546 Key Largo, FL 33037-2546 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ................................................................................................................................................................................................................................................................................................ Co LTR TYPE OF INSURANCE POLICY POLICY NUMBER DATE (MM/D EFFECTIVE DALTE (MM/DDIY ICY ON LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY E PRODUCTS COMP/OP AGG S 1,000,000 ................................................ CLAIMS MADE ' X ? OCCUR I PERSONAL & ADV INJURY $ 1,000,000 A - 21EUCLI2622 11/22/200011/22/2001 - --- OWNER'S & CONTRACTOR'S PROT : EACH OCCURRENCE ..............................................:. s..........1,000,000 ....... FIRE DAMAGE (Any one fire) S 300!000 ........... _....... _ ....__ MED EXP (Any one person) $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS , .. ; • �, d" (Per person) ) r HIRED AUTOS n BODILY INJURY S NON -OWNED AUTOS -- (Per accident) ........ r �_ _ PROPERTY DAMAGE S GARAGE LIABILITY (. ! `� AUTO ONLY EA ACCIDENT $ ANY AUTO NK� OTHER THAN AUTO ONLY...... r EACH ACCIDENT: $ AGGREGATES EXCESS LIABILITY i EACH OCCURRENCE S UMBRELLA FORM �r AGGREGATE $ .............................................. :......................... OTHER THAN UMBRELLA FORM $ . WORKERS COMPENSATION AND WC TORY LIMBS. EMPLOYERS' LIABILITY B - 001WC99A37763 ' 03 28 2000 / / EL EACH ACCIDENT $ 03 28 2001 / / 100,000 000 -- - THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE .......: EL DISEASE -POLICY LIMB S ............................................... 500,000 OFFICERS ARE: EXCL ; EL DISEASE - EA EMPLOYEE ' S lOU 000 OTH R Employee Dishonesty $25,000 C :Bond OBS-460042 10/30/2000 10/30/2001; Contains Conviction Clause DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS 30 Day Notice of Cancellation Applies for Workers Compensation roe County Board of County Commissioners is named as Add'l Insured for General Liability: Monroe County, Board of County Commissioners Attn: Maria del Rio 51 College Road Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE r Thomas R. Jones Jr. ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) PRODUCE,Z (305)247-5121 FAX (305)248-8543 0311S/2001 RMA'l ION T.R. Jones & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1780 North Krome Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Homestead, FL 33030 INSURERS AFFORDING COVERAGE INSURED L & N Dependable Janitorial, Inc INSURER A: Hartford Insurance Company PO Box 2546 INSURERS: FCCI Insurance Company Key Largo, FL 33037-2546 INSURERC: Security Bond Associates Inc. INSURER D: COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY POLICY NUMBER 21EUCLI2622 DATE (MM/DD/YY) 11/22/2000 DATE (MWDD/YY) 11/22/2001 LIMITS EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300,000 A CLAIMS MADE OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 11000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS t ° ":• -' '. %h:, k HIRED AUTOS NON -OWNED AUTOS __- -- BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO � _ __ - - OTHER THAN EA ACC AUTO ONLY: AGG $ 7 $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR F CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY O1WCOlA-37763 03/28/2001 03/28/2002 X TORY LIMITS ER B E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE- EA EMPLOYEE $ 100,000 yee Dishonesty BS-460042 10/30/2000 yCond 10/30/2001 E.L. DISEASE - POLICY LIMIT $ 500,000 $25,000 ContainsConviction Clause DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 0 Day Notice of Cancellation Applies for Workers Compensation onroe County Board of County Commissioners is named as Add'l Insured for General Liability: CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County, Board of County Commissioners Attn: Maria d e 1 Rio S 1 College Road Key West, FL 33040 -10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ��y Thomas R. Jones ]r. / o/tan / c IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. sra.E FaRN State Farm Mutual Automobile Insurance Company n 7401 Cypress Gardens Boulevard ®® Winter Haven FL 33888 INSUR4NCE O. 08434-5-B MATCH 01509 MUTL VOL "COPY* DECLARATIONS PAGE "COPY* POLICY NUMBER Policy Period from JUN 29 2001 to OCT 11 2001 1STATE FARM PAYMENT PLAN NUMBER 617 6765-D11-59R 0031980519 01509 59-2753-561B MONROE COUNTY BOCC ATTN MARIA DEL RIO 5100 COLLEGE ROAD KEY WEST FL 33040-4319 NAMED INSURED: OSTEN, NORA DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE. AGENT RICHARD T WALDE INS AGY INC 18383 NE 18TH RD NORTH MIAMI BEACH FL 33179-5038 PHONE: (305)944-6664 sv£_ �s 4 - I*��Irri � � < Sf,>�"3�3• � �#-w�'•VF�ir �iJ�t: �I��WIi1 sy�; ��` � '.F� ,, ..�YGA r „x.,<, ., ty ,' L/�wA�� 2001 CHEVROLET TAHOE SPORT WG 1 GNEC13T51 R206458 1 L3H502 a■i�.L-;yyy,:,'rt` t,»!r'td Hl ii i2 i #tt£ ,jSfti@j,y {� .g. tyftxz Lg { * YT 10M� 1 #�y£ii<. 'tt' t t L6Z fh€F f � £ ; '£ S • }YI'kIWO #T YS 2�S` EN 2001 See eolicy for coverage details. CHEVROLET r1,£ :.<. .` a .,..? s (=;r'3td1lyn itryldIy 08 ., SOW Limits of Liabilit -Coverage A-Bod'I In*u�ry �u' . c <n is sr �£ ffasF n�y.£sffzxx _ o-n 2£'.. ft t ..tr<ffrq nrs7,:.�i' gnr£ �6a��s�>Et xw _ -� -✓ £ € Y £ b �£k"°K ^i .._ t 4 - ...x; Bi£=.��1i1' •.>uk x<$,C'. .,> ..X<t`..Y,�s^,�,�i'...L^,�.� d*;'3„'ram ,'a.ni9..>;�+t s°€�c ry,r .,.. .. 4 :�a£; ,x .. ,. .4<>. JT .. ,<,...<. »'rve .»i». ,, x, ,.x ...k ,:?. $100,000 $300,000 �. t` f _ � to 'fn�Ci � ff{ x i £ �• j s '��' K 't/�yz, x � - yTy� d X jF j; � 'g; Cx#gam �.� tt' �'� r � � xF s,� `� :. �' ': x� t: y ..,,....x, ,., x •r^. c .. #�,,. �,,..< F.Y?L�r111��.��R�y a��Yzi`.„��€��.,.nIW��F�n�'V�7�.[�i� �,.,,a 3::, � i;;;r-,t: »_y,..a ,»„»__,,,>.�. ; s,. ,, �,z,4:ii '`.s... .t;r, , i.., .r�',; ,,.� n,sre ,., :,. Z Each Accident t£ }. � r< �5 £a .t q e£ a j�i�Y� y�' ."•�iii' t P "'£�" �€� , �t Y��a �' o�� h 'S a `S. f 1 F�� : a �>� fs ,. � t fp ;>; ,.t' •,... ,_. ,.a ... ,.,VVx�ii'�.�.% Y.n?;r,'b:.,�s �i�..4.�4 6�i�4� �,�'��,aa.��.. _�57,;:>'„' � _,,,,.i.S;. S, s �i;�S:, .." , � ,,,.;, i, �»..,. >; . £ <. ,.#�•:s:� 1st ems, ,,r., ,s .. ,Sl�:.> tL : >,,3 P10 No Fault F 9t, tt. ff Yf • •.�£gntttt('<[i„ 'utt '�£ a ; .. ru.K,�. ,` x. f' tt � "?HF r wbxP 132 :: >• V.. '.:.» �t^ .t .' -•tGf ��i��;�r l`�#jp�F'f- 3,"�a7'.�., ;{.�,<. .c £. .,..> ,.... 3,. ,?i �enl .?�,... 5��:.f�v�� 1�_� �,�� <.. S,xx uuu �u f�L�s f',L ,x rc G250 $250 Deductible Collision �-<,�� av'pr-:_ ,.. � :.�..; $78.91 R1 Car Rentalfrr4vel Expenses IN iI ' I--S ?l.1 I ' $4. 99 Each Day Each Occurrence j"'t --` III (---- Nonstackina Uni Replaced policy number 6176765-59Q. Your total current 6 month premium for APR 11 2001 to OCT 11 2001 is $457.77. For questions, problems or to obtain information about coverage call: (305)944-6664. 01 6097AE LEASED MOTOR VEICLES ADDITIONAL INSURED-XAULTRUST, C/O POP SER ICES 11350 MCC ORMICK D HUN ALLEY MD 21031-1 OLL 02 028E.5 ADDITIONAL INSURED-MONR E COUNTY BOCC, ATTN�MARIA DEL RIO 5100 COLLEGE ROAD KEY WEST FL 33040-4319. 03 6028E.5 ADDITIONAL INSURED-DUANE SHORT NATIONAL ACTS, FBG SERC CORP, 407 S 27 AXE OMAHA NE 68131-3609. 0 6028E S ADDITIONAL INSURED-LINCOLN PROPERTY COMPANY & CITICORP NA, 8750 NW 36TH ST, MIAMI FL 33178-2425. 6091 CERTIFICATE OF GUARANTEED RENEWAL. 6126EZ AMENDMENT OF DEFINED �(ORDS - NO FAULT AND MEDICAL PAYMENT CO ERAGES -EXPIRES OCII 11 2001. 6126EZ.1 AMVNDMENT OF DEFINED WORDS - NO FAULT AND MEDICAL PAYMENT 6893MM AMENDMENT OFFCARCRENTALOAND TRAVEL EXPENSES COVERAGES. RESIDENCE-35250 SW 177TH CT LOT 192, HOMES EAD FL 33034. .99 Named Insured- OSTEN, NORA DBA L&N DEPENDABLE JANITORIAL PO BOX 2546 KEY LARGO FL 33037-7546 Agent: RICHARD T WALDE INS AGY INC Telephone: (305)944-6664 155.3866 12.1999 01 5ha (o1a0254b) 02 Prepared JUL 03 2001 2753-599 (o1s0252o) ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) Tc,DUCER (305)247-5121 FAX 11/08/2001 (305)248-8543 T.R. Jones & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1780 North Krome Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Homestead, FL 33030 L & N Dependable Janitorial, Inc PO Box 2546 Key Largo, FL 33037-2546 INSURERS AFFORDING COVERAGE INSURER A: Hartford Insurance Company INSURERB: FCCI Insurance Company INSURERC: Security Bond Associates Inc. INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE (MWDD/YY) DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY X COMMERCIALAL GENERAL LIABILITY CLAIMS MADE a OCCUR 1EUCLI2622 11/22/2001 11/22/2002 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 11000,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS APPRQYMB R BY AEMENT BODILY INJURY (Per person) $ HIRED AUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS DATE / WAIVER N/A ES PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO ' AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ OIL AUTO ONLY: AGG $ EXCESS LIABILITY OCCUR F CLAIMS MADE ✓ EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 01WC01A-37763 03/28/2001 03/28/2002 EMPLOYERS' LIABILITY X TORYLIMITS ER B E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEq $ 100,000 OTHER Employee Dishonesty BS-460042 10/30/2001 10/30/2002 C and E.L. DISEASE - POLICY LIMIT $ $25,000 Contains Conviction 500,000 Clause DESCRIPTIO11 N OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 0 Day Notice of Cancellation Applies for Workers Compensation onroe County Board of County Commissioners is named as Add'l Insured for General Liability: CERTIFICATE HOLDER Ann.TInMAI f-AAIf-G1 I A-L. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County, Board of County Commissioners —10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Maria d e 1 Rio BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY S 1 College Road OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTATIVE , Thomas R. Jones Jr. 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD CERTIFICATE OF LIABILITY IN5URANCE DATE(MM/DD/YY) -RcaucER 01 (305)247-5121 FAX ON 12/04 (3 0 5) 2 4 8 - 8 5 4 3 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE T.R. Jones & Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1780 North Krome Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Homestead, FL 33030 L & N Dependable Janitorial, Inc PO Box 2546 Key Largo, FL 33037-2546 INSURERS AFFORDING COVERAGE INSURER A: Hartford Insurance Company INSURERB: FCCI Insurance Company INSURER C: Security Bond Associates Inc. INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE (MWDD/YY) DATE (MWDD/YY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR 21EUCLI2622 11/22/2001 11/22/2002 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT 0LOC PRODUCTS - COMP/OP AGG $ 11000,000 AUTOMOBILE LIABILITY ANY AUTO d d3nldnn COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS 3wa SCHEDULED AUTOS �8 BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS 1N3W30dNd >i W 9 a3n0l�dd BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ ` AUTO ONLY: AGG $ EXCESS LIABILITY OCCUR a CLAIMS MADE BY DATE C EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ WAIVER N/A —,-YES $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY O1WC01A-37763 03/28/2001 03/28/2002 X TORY LIMITS ER E.L. EACH ACCIDENT $ 100,000 B E.L. DISEASE - EA EMPLOYE $ 1009000 E.L. DISEASE -POLICY LIMIT $ 500,000 $25,000 Contains Conviction Clause C OTHER mployee Dishonesty and BS-460042 10/30/2001 10/30/2002 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 0 Day Notice of Cancellation Applies for Workers Compensation onroe County Board of County Commissioners is named as Add'1 Insured for General Liability: CERTIFICATE HOLDER I I AnroT .. ____ O�Akl^. . A -- Monroe County, Board of County Commissioners Attn: Maria del Rio 51 College Road Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Thomas R. Jones Jr. I IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. CERTIFICATE OF INSURANCE SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER WILL NOT BE CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois, or 0 STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown below: Named Insured ©�%/l/P2w v'e�A Address of Named Insured ee2X �L 7�3 ' v NT POLICY NUMBER �a ,J- - � AP Y NAQEM EFFECTIVE DATE OF POLICY cc . DESCRIPTION OF VEHICLE �35o W IVER NIA YES a LIABILITY COVERAGE YES 0 NO Q YES E�j NO YES 0 NO 0 YES NO LIMITS OF LIABILITY a. Bodily Injury Each Person Each Accident b. Property Damage Each Accident c. Bodily Injury & Property Damage Single Limit Each Accident PHYSICAL DAMAGE COVERAGES YES 0 NO YES NO 0 YES 0 NO 0 YES NO a. Comprehensive $ a Deductible $ b. Collision YES 0 NO 0 YES Deductible 0 NO $ 0 YES Deductible E�] NO $ 0 YES Deductible NO EMPLOYER'S $ 4'11 d Deductible $ Deductible $ Deductible $ Deductible VOVERAGEON-OWNERSHIP YES �NO 0 YES = NO Q YES NO 0 YES 0 NO HIRED CAR COVERAGE N. 0 YES [Np YES NO YES NO YES n NO r ize Mepres nt Ive itle Name and Address of Certificate Holder / J Agents Code Number Da Name and Address of Agent as 'F Al CERTIFICATE HOLDER COPY AQ RDCERTIFICATE OF LIABILITY INSURANCE 0DATE (MMIDDIYY) 3/25/2002 PRODUCER (305) 247-5121 FAX (305) 248-8543 T.R. Jones &Company 1780 North Krome Avenue Homestead, FL 33030 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED L & N Dependable Janitorial , Inc PO Box 2546 Key Largo, FL 33037-2546 INSURER A: Hartford Insurance Company INSURERB: Bridgefield Employers Ins. Co. INSURERC: Security Bond Associates Inc. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE AT MM/DDATE POLICY EXPIRATION (MWDDIYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FT1 OCCUR 21EUCL12622 11/22/2001 11/22/2002 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG $ 1, 000 , OOO AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS p�I A'P��7�r1 BY ENT y 5 z COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ GARAGE LIABILITY ANY AUTO WAIVER NIA YES AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY D39901 03/28/2002 03/28/2003 X I TORY LIMITS ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 C OTHeR �mployee Dishonesty and BS-460042 10/30/2001 10/30/2002 $25,000 Contains Conviction Clause DESCRIPTION OF QPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 0 Day Notice of Cancellation Applies for Workers Compensation onroe County Board of County Commissioners is named as Add'l Insured for General Liability: AUUI I IUKAL IKAUKGU; IKJUKCK Lt I 1 CK VMIYVGLLNI IVIY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County, Board of County Commissioners 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn • Maria del Rio BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 51 College Road I OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTATIVE Thomas Jones Jr./JM CERTIFICATE OF INSURANCE SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER WILL NOT BE CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: 2rSTATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois, or STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown below: Named Insured Q.S% �/1/ �L�y��_ ;�, 6 /� /_ v /(,/ �� Address of Named Insured POLICY NUMBER PP K MAN EMENT EFFECTIVE DATE OF POLICY q // D 2 — // 9 02_ DATE tWA DESCRIPTION OF rc�.i VEHICLE AIVER N/A YES �i 0 YES 0 NO LIABILITY COVERAGE YES 0 NO 0 YES 0 NO 0 LIMITS OF LIABILITY YES 0 NO a. Bodily Injury Each Person Each Accident b. Property Damage Each Accident c. Bodily Injury & Property Damage Single Lirrit / M /Z�, Each Accident PHYSICAL DAMAGE COVERAGES YES 0 NO YES0 NO 0 YES 0 NO YES 0 NO a. Comprehensive $ �J D Deductible $ Deductible $ Deductible $ b. Collision YES NO $ d Deductible YES Q NO Q YES 0 NO Deductible YES 0 NO EMPLOYER'S $ Deductible z Deductible $ Deductible NON -OWNERSHIP COVERAGE 0 YES Q NO 0 YES NO J NO YES 0 NO HIRED CAR COVERAGE YES NO 0 YES 0 NO YES NO YES 0 NO Signature of Authorized Representative - 75 —' � 7/_-1 DZ_ Title Agent's Code Number Da Name and Address of Certificate Holder Name and Address of Agent --.a aT CERTIFICATE HOLDER COPY 1��"�12j T. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001/08) 2 of 2 #S59223/M59212 ACORDTM CERTIFICATE OF LIABILITY INSURANCE 0DATE (MMIDDNY) 1/31/2003 PRODUCER (305) 247- 5121 FAX (305) 248-8543 T.R. Jones & Company 1780 North Krome Avenue Homestead, FL 33030 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED L & N Dependable Janitoria , Inc PO Box 2546 Key Largo, FL 33037-2546 INSURER A: Hartford Insurance Company INSURERB: Bridgefield Employers Ins. Co. INSURERC: Security Bond Associates Inc. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE MID /YY POLICY EXPIRATION AT /Y LIMITS GENERAL LIABILITY 1EUCLI2622 11/22/2002 11/22/2003 EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR MAMA APPR M NT FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEPRO- CT LOC PRODUCTS - COMP/OP AGG $ 1,000,000 BY AUTOMOBILE LIABILITY ANY AUTO J YB• WANER NIA' -^—""`"`"`� COMBINED SINGLE LIMIT accident) $ ALL OWNED AUTOS AUTOS R � `I�" BO rns $SCHEDULED HIRED AUTOS NON -OWNED AUTOS , _ �� a ��r �'Y j J 1 BO LYINJURY (Per ccident) $ PRO ERTY DAMAGE (Per ccident) $ l/� GARAGE LIABILITY ANY AUTO MONR RISK M E COUN NAGEMENT AUT ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 93028841 03/28/2002 03/28/2003 X TORY LIMITS ER E.L. EACH ACCIDENT $ 500,000 B E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT 1 $ 500,00 R Dishonesty BS-460042 10/30/2002 10/30/2003 $25,000 Coyee (oE Contains Conviction Clause DESCRIPTION OF QPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 0 Day Notice of Cancellation Applies for Workers Compensation onroe County Board of County Commissioners is named as Add'l Insured for General Liability: ICR LLl111VIY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County, Board of County Commissioners 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn • Maria Sl avi k BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 . Simonton St. OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTATIVE _N/1 t of Record Thomas Jones. Jr FAX: (305)292-4564 CG•' ACORD, CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/YY) PRODUCER (305) 247-5121 FAX (305) 248-8543 THIS CERTIFICATE T R 'IIS ISSUED AS A MATTER OF I 02/03/2003 ones & Company ONLY AND CONFERS NO RIGHTS UPON THE CEIN RTIFICATE 1780 North Krome Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Homestead, FL 33030 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED L & N Depen able Janitoria , Inc PO Box 2546 Key Largo, FL 33037-2546 INSURERS AFFORDING COVERAGE INSURER A: Hartford Insurance Company INSURERB: Bridgefield Employers Ins. Co. INSURER C: Security Bond Associates Inc. INSURER D: COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OF SUCH rA E OF INSURANCE POLICY NUMBER 10" BILITY IEUCLI2622 LIMITS EACH OCCURRENCE $ 1,000 RCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 300 IMS MADE X OCCUR MED EXP (Any one person) $ 10 GENT AGGREGATE LIMIT APPLIES PER: POLICY P n ECOT- n LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY OCCUR FI CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY B OTH R C mpiloyee Dishonesty and )ESCRIPTION OF QPERATIONS/LOCATIONSIV 0 Day Notice of Cancialln PERSONAL & ADV INJURY $ 1,000 GENERAL AGGREGATE $ 1,000 PRODUCTS - COMP/OP AGG $ 1,00 0 COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ AP MA EMEN BODILY INJURY (Per accident) $ BY _ PROPERTY DAMAGE (Per accident) $ DATE AUTO ONLY - EA ACCIDENT $ WAVER N/A YES OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ $ $ 3028141 03/28/2002 03/28/2003 X r� $ H- DNS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS es for Workers Compensation E.L. EACH ACCIDENT $ 500, C E.L. DISEASE - EA EMPLOYEE $ 500, C E.L. DISEASE -POLICY LIMIT $ 500,0 $25,000 Contains Conviction Clause County Board of County Commissioners is named as Add'l Insured for General Liability: CERTIFICATE INSURER LETTER Monroe County, Board of County Commissioners Attn: Maria Slavik 1100 Simonton St. Key West, FL 33040 FAX: (305)292-4564 CC CANCEL /5UACORD 25-S (7/97) CACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Agent of Record Thomas Jones, Jr/JN DATE (MM/DD/YY) ACORD�, CERTIFICATE OF LIABILITY ITNISUCATE IRANCE S ISSUED AS A ATTEROFINFORMATION2003 PRODUCER (305)247-5121 FAX (305)248 8543 THIS ONLY AND CONFERS NO RIGHTS UPON THE: CERTIFICATE T.R. Jones & Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1780 North Krome Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Homestead, FL 33030 INSURERS AFFORDING COVERAGE INSURED L & N Dependable Janitoria , Inc INSURER A: Hartford Insurance Lompany PO Box 2546 INSURER Bridgefield Employers Ins. Co. Security Bond Associates Inc. Key Largo, FL 33037-2546 INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS INT R TYPE OF INSURANCE POLICY NUMBER lEUCLI2622 11/22/2002 11/22/2003 EACH OCCURRENCE $ 1,000 OO GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 300,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 10,000 CLAIMS MADE = OCCUR PERSONAL 8 ADV INJURY $ 1, 000.000 A GENERAL AGGREGATE $ 1, OOO, OOO PRODUCTS - COMP/OP AGG $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS EMENT HIRED AUTOS AP P V K M BODILY INJURY $ (Per accident) NON -OWNED AUTOS BY 0. PROPERTY DAMAGE $ (Per accident) LIABILITY E r AUTO ONLY - EA ACCIDENT GARAGE WAIVER NIA --YE'ACC $ THAN TO OTHER AUTO ONLY: AGG $ FEXCESS r EACH OCCURRENCE $ AGGREGATE $ BILITY CLAIMS MADE $ C` DEDUCTIBLE RETENTION $ 93028841 03/28/2002 3/28/2003 X I ORY LIMITS ER WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,006 B E.L. DISEASE - POLICY LIMIT $ 500,00 oTHF�oyee Dishonesty BS-460042 10/30/2002 10/30/2003 $25,000 Clause C and Contains Conviction DESCRIPTION OF (?PERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 0 Day Notice of Cancellation Applies for Workers Compensation onroe County Board of County Commissioners is named as Add'l Insured for General Liability: G 0/0y : f 1—ofv� a- n c e, CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Monro10 County, Board of County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Attn: Maria Slavik Attn: 1100 Simonton St. OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Key West, FL 33040 A ent of Record Thomas Jones, Jr ©ACORD CORPORATION 1988 ACORD 2" (7/97) FAX: (305) 292-4564 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) -RODUCER (305)247-5121 FAX (305)248-8543 04/11/2003 NFORMATIOW— T.R. ]ones & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1780 North Krome Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Homestead, FL 33030 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ]erri Moor INSURERS AFFORDING COVERAGE 1- a n uepenaaDle Janitorial, Inc PO Box 2546 Key Largo, FL 33037-2546 INSURER A: Hartford Insurance Company INSURERB: Bridgefield Employers Ins Co INSURERC: Security Bond Associates Inc. INSURER D: INSURER E: ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT To WH CHLTHIS CERTIFICATE MAY BEIISS ED OR ITHSTANDING MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .TR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY 21EUCLI2622 11/22/2002 11/22/2003 EACH OCCURRENCE $ X COMMERCIAL GENERAL LIABILITY 1, 000 , FIRE DAMAGE (Any one fire CLAIMS MADE M OCCUR ) $ 300. A MED EXP (Any one person) $ lO , PERSONAL & ADV INJURY $ 1, 000, GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000, POLICY PRO- LOC PRODUCTS-COMP/OP AGG $ OOO, AUTOMOBILE LIABILITY !!1 ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS APP 0 E B RkVANMNON-OWNED (Per person) AUTOSBY BODILY INJURY$(Per accident)DATE PROPERTY DAMAGE$ LIABILITY WAIVER N/qANYAUTO (Per accident)GARAGE AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ EXCESS LIABILITY IXHUYI6937 AUTO ONLY: AGG $ 11/22/2002 11/22/2003 EACH OCCURRENCE X OCCUR a CLAIMS MADE $ 1,000, A S ' AGGREGATE $ DEDUCTIBLE $ RETENTION $ F $ WORKERS COMPENSATION AND 83028841 EMPLOYERS' LIABILITY $ 03/28/2003 03/28/2004 / B y TORY LIMITS ER E.L. EACH ACCIDENT O ►' / $ 1 I SOO, a E.L. DISEASE - EA EMPLOYE $ 500, Q OTHER loyee Dishonesty BS460042 E.L. DISEASE - POLICY LIMIT $ 10/30/2002 10/31/2 003 500,0 C and $25,000 Contains Conviction Clause DESCRIPTION OF OPERATION3/LOCATIONSNEHICLES/IXCLUSION3 ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 30 Day Notice of Cancellation Applies for Workers Compensation Monroe County Board of County Commissioners is named as Addrl Insured for General Liability: RTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER CANC ELATION 3HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County, Board of County Commissioners —10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn : Maria Sl avi k 1100 Simonton BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY St. Key West, FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZEDREPRESENTATIVE FAX: (305)292-4564 A ent of Record Thomas ]ones, Jr.L..- CERTIFICATE OF INSURANCE URANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER WILL NOT BE CANCELED OR OTHERWISE ED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT IN No ALL THIS CERTIFICATE @E VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE CHANGE THE OOVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. S that: n/ /STATE FARM MUTUAL AU1'OM06MLE INSURANCE COMPANY of 131oomnpton. Itbro%, or L� STATE FARM FIRE AN() CASUALTY COMPANY of Woomoxvon. Illinois to n force for the following NarnedInsured as shown below: red Named Insured' - ER I--•Si7,-)—L/:/,P- ATE or TRACE �/rYEs ( NO vt ;; 1-1110 YES 61LITY 4. �1A.: -r%m Eden, 0ATF AiEI,N )ME" *OOAt 6 Protwny 1AAGE YES 0 NO rrg n NO [ YES LJ NO vE5 73 No `+ ONO S Oupuct�0lo a •.��'G' .. I)cd�wrinn OHduuA* NO YES wll«a„ E o LJ YES 0 NO OAdI/C,RIIA YL� No 0 S a j Q cl rxxw�+a tibie iMW [] n_S 0 NO Q YES U NO YES n No Q YES NO OVERAGr vr,; Q �rEs LJ NO 121YES n NO Q Yr'z, 0 NO i%,,Z 3 Signature or Authorized Representative Talc AgcnT Code Number ,ed Name and Address of Certificate Holder -L a Name and Address of Agent Raunon aouuou dac:�r 40 ar aaa ACORDTM CERTIFICATE OF LIABILITY INSURANCE 04/11/20 3 PRODUCER (305)247-5121 FAX (305)248-8543 T.R. Jones & Company 1780 North Krome Avenue Homestead, FL 33030 Jerri Moor THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED L & N Dependable Janitorial, Inc PO Box 2546 Key Largo, FL 33037-2546 INSURER A: Hartford Insurance Company INSURERB: Bridgefield Employers Ins Co INSURERC: Security Bond Associates Inc. INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICYFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MM/DD LIMITS GENERAL LIABILITY 21SBMBM8916 11/22/2003 11/22/2004 EACH OCCURRENCE $ 11000, 00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 10,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 1,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APP D BY DATE WAIVER N/ ISK M 1^�) V YES WENT COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY X OCCUR CLAIMS MADE 21SBMBM8916 / 11/22/2003 11/22/2004 EACH OCCURRENCE $ 11000,000 AGGREGATE $ 1,000,000 A !V(1 $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 083028841 03/28/2003 03/28/2004 TNC LIMITS ETH- ORY R E.L. EACH ACCIDENT $ 500, OO B E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ S00,000 OTH R mp oyee Dishonesty BS-460042 10/30/2003 10/30/2004 $25,000 C and Contains Conviction Clause DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 0 Day Notice of Cancellation Applies for Workers Compensation onroe County Board of County Commissioners is named as Add'l Insured for General Liability: rlACAP Monroe County, Board Attn: Maria Slavik 1100 Simonton St. Key West, FL 33040 of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �J FAX: (305)292-4564 of Record y I 01/22/2004 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR RISK TRANSFER SOLUTIONS, INC. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 301 E. PINE STREET SUITE 350 COMPANIES AFFORDING COVERAGE ORLANDO, FL 32801 - - COMPANY A FIRST COMMERICAL INSURANCE COMPANY COMPANY INSURED PRESIDION SOLUTIONS I - V, INC. e COMPANY 4400 PGA BOULEVARD, SUITE 1000 C PALM BEACH GARDENS, FL 33410 COMPANY PH: 800-477-5606 D __ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSION AND CONTITION OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO ' POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL AGGREGATE $ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE OCCUR I, ElPEONAL & ADNJUY $ I V INJURY - RS--- __--_--_- __-_- -- .__ OWNER'S &CONTRACTOR'S PROT ' I EACH OCCURRENCE i $ FIRE DAMAGI(Any one fire) $ `` MED EXP (Anyoneperson)$ AUTOMOBILE LIABILITY BY-1COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS DATE SCHEDULED AUTOS BODILY INJURY (Per person) $ tf� HIRED AUTOS BODILY INJURY NON -OWNED AUTOS I AIVEP �* (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ✓ AUTO ONLY -EA ACCIDENT $ ANY AUTO , OTHER THAN AUTO ONLY: / EACH ACCIDENT. I $. - AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE I$ UMBRELLA FORM V AGGREGATE I $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND X WC STATU- OTH- A EMPLOYER'S LIABILITY TORY LIMITS eR'. THE PROPRIETOR/ INCL 17603-00 07/01/2003 06/30/2004 EL EACH ACCIDENT Is 1,000,000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL - - - -- -- -- ----- - EL DISEASE LIMIT $ 1,000,000 -POLICY EL DISEASE -EA EMPLOYEE $ 1,000,000 OTHER 01/01/2004 06/30/2004 LOCATION COVERAGE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ONLY THOSE EMPLOYEES LEASED TO, IN FLORIDA, BUT NOT SUBCONTRACTORS OF: 52334 L&N DEPENDABLE JANITORIAL, INC P.O. BOX 2546, KEY LARGO, FL 33037 FAX # 305-242-9274 RE: MONROE CONTY LIBRAIRES 4� b e \ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS MONROE COUNTY BOARD OF COMMISSIONER WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 1100 SIMONTON ST COMPANY, ITS AGENTS OR REPRESENTATIVES. KEY WEST, FL 33040- AUTHORIZED REPRESENTATIVE ATTN: MARIA STAVEK Paul R. Hughes CC ACORDT„ CERTIFICATE OF LIABILITY RP1-076Y INSURANCE DATE(MM/DD/YYYY) O6/30/2004 PRODUCER Risk Transfer Holdings Suite 350 301 E. Pine Street THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orlando, FL 32801 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: First Commercial Insurance Com an INSURER B: Sunshine Staff Leasing, Inc. dba Presidion Solutions I, Inc. Sunshine Companies III, Inc. dba Presidion Solutions IV, Inc. INSURER C: 10th Floor 4400 PGA Blvd. Palm Beach Gardens, FL 33410 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OR ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY APID CLAIMS. INSRADD' LTR INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MM/DD LIMITS GENERAL LIABILITY MERCIAL GENERAL LIABILITY CLAIMS MADE F] OCCUR P EACH OCCURANCE $ DAMAGE TO RENTED PREMISES (Ea oeovenee) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 1 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIREDAUTOS NON -OWNED AUTOS ^ ` `? ` - ... .. •. i;1All - .... . ..............1 WAIVFRR NAG _..-._..._-. .... YES ') /-) -1 ENT COMBINED SINGLE UNIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ H PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO ` ,II AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION IP EACH OCCURRENCE $ AGGREGATE $ $ $ $ A WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below SPECIAL 17603-1 07/01/2004 07/01/2005 JOT X TIORVLIMITS ER E.L. EACH ACCIDENT $- 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1 000 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS I ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Coverage is extended to the leased employees of alternate employer (Florida Operations Only): L&N Dependable Janitorial, Inc. 52334 Effective 1/1/2004 DISCLAIMER: This Certificate of Insurance does not constitute a contract between the issuingg insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. CERTIFICATE HOLDER CANCELLATION 09014*********3-DIGIT 330 MONROE COUNTY BOARD OF COMMISSIONER MAR [A STAVEK 1100 Simonton St Key West, FL 33040-3110 ll'� I RA I A I A� A! I I A�lA I AAA I RA lll®l �iI�l'I A �� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OF LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTIVE l ACORD 26 (2001/08) C G .� 9 ACORD CORPORATION 1988 ASTATE FARM INSURANCE COMPANIES® 7401 Cypress Gardena Boulevard Winter Haven FL 33888 DATE OF NOTICE: JUL 30 2004 FV� 188A A MONROE COUNTY BOCC ATTN MARIA DEL RIO 5100 COLLEGE ROAD KEY WEST FL 33040-4319 Inllni��i��un�nlll�n��n�n��uulllJn��n��uu��l�� ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: 6176765-D11-59T COVERAGE: OSTEN, NORA YR/MAKE/MODEL: 2004 CHEVROLET SPOPT WG BI AND PD LIABILITY DBA L&N DEPENDABLE JANITORIAL VIN/CAMPER: 1GNt1S138O42145801 $250,DED. PO BOX 2546 AGENT NAME: RICH4RD T WALDE INS AGY INC OMP./$50,000 $250 DED. COMP. $250 DED. COLL. KEY LARGO FL 33037-7546 AGENT PHONE: (305) 344-6664 ENDORSEMENT NO: 60281.5 POLICY EFFECTIVE JUL 21 2004 UNTIL TERMINATFn POLICY MESSAGES: This policy shown above supersedes policy# 6176765-59S. The policy includes a loss payable clause protecting the additional insured's interest in the described car o the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the pol ;y is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been pa d. The additional ine :red must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will rjnder this policy null ..nd void. AP M AGEMENT BYW V 1111 [SATE VV11'ivi� 1 NIA YES 1 CC V m�� 4C' M NINSURANCE) CERTIFICATE 4F INSURANCE lei I RANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: ® STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois ❑ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas, or ❑ STATE FARM INDEMNITY COMPANY of Bloomington, Illinois has coverage in force for the fnllnwinn Nnmati 1.,..... w_1_---- - ---------1 •--••••••• ... vat of J11Vg11 Livluvv. NAMED INSURED: OSTEN, NORA DBA DEPENDABLE JANITORIAL ADDRESS OF NAMED INSURED: PO BOX 2546 KEY LARGO FL 33037 POLICY NUMBER EFFECTIVE DATE 012 0975-B17-59H 115 8172-E19-59E 212 0560-B05-59B 256 8457-D11-59A OF POLICY 02/17/2005 11/19/2004 02/05/2005 10/11/2004 DESCRIPTION OF 99 CHEVROLET C1500 01 04 CHEVROLET 05 CHEVROLET VEHICLE (Including VIN) 2GCEC19W7X1290763 CHEVROLET EXP IGCFG25MX11182184 EXPRESS 1GCGG25V941102214 EXPRESS 1GCGG25V651105346 LIABILITY COVERAGE ® YES ❑ NO ® YES ❑ NO ® YES ❑ NO ® YES ❑ NO LIMITS OF LIABILITY a. Bodily Injury N\A N\A N\A N\A Each Person N\A N\A N\A N\A Each Accident N\A N\A N\A DamageEach N\A Fb.Property Accident N\A N\A N\A N\A dily Injury & operty Damage Single Limit Each Accident PHYSICAL DAMAGE 1 MIL 1 MIL 1 MIL 1 MIL COVERAGES ® YES ❑ NO ® YES ❑ NO ® YES ® NO ® YES ❑ NO a. Com rehensive $ 250 Deductible $ 250 Deductible $ 250 Deductible $ 250 Deductible b. Collision ® YES ❑ NO ® YES ❑ NO ® YES ❑ NO ® YES ❑ NO EMPLOYERS NON -OWNED $ 250 Deductible $ 250 Deductible $ 250 Deductible $ 250 Deductible CAR LIABILITY COVERAGE ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO HIRED CAR LIABILITY COVERAGE ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO FLEET -COVERAGE FOR ALL OWNED AND LICENSED MOT R VEHICLES ❑ YES ® NO ❑ YES ® NO ❑ YES No ❑YES NO Name and Address of Certificate Holder Monroe County Board of County Commissioners PO Box 1026 Key West, FL 33040 Title Agent's Code Number Name and Address of A ent Richard T. Walde Insurance Agency Inc. Date 18383 NE 18th Rd N Miami Beach, FL 33179 App E gl',SK&AGEMENT 0,4TE Cc' WAiVt_:iP, N'!A .._-_)(_auYES INTERNAL STATE FARM USE ONLY: ® Request permanent Certificate of Insurance for liability coverage. 122429.2 Rev. 06-10-2004 0 Request Certificate Holder to be added as an Additional Insured. NRANCE CERTIFICATE OF INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: ® STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois ❑ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas, or ❑ STATE FARM INDEMNITY COMPANY of Bloomington, Illinois has coverage in force for the foiiovAnn NamPri Inciirnfi nc �I,►,,,, "of vcw of 59/2753 02/23/2005 i ltle Agent's Code Number Date Name and Address of Certificate Holder Name and Address of Agent Monroe County Board of County Commissioners Richard T. Walde Insurance Agency Inc. PO Box 1026 18383 NE 18th Rd Key West, FL 33040 N Miami Beac FL 33179 AP ; SK M AGEMENT BY YES lNAIu�B E.Ij.'-1 INTERNAL STATE FARM USE ONLY: ® Request permanent Certificate of Insurance for liability coverage. 122429.2 Rev. 06-10-2004 0 Request Certificate Holder to be added as an Additional Insured. A t$IAIt I -ARM INSURANCE COMPANIES" 7401 Cypress Gardens Boulevard Winter Haven FL 33888 DATE OF NOTICE: FEB 11 2005 CODE: 184A A MONROE COUNTY BOCC ATTN MARIA DEL RIO 5100 COLLEGE ROAD KEY WEST FL 33040-4319 NOTE: PLEASE NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDRESS INFORMATION. ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2753-F606-0 NAMED INSURED: POLICY NO: 617 6765-D11-59U COVERAGE: OSTEN, NORA YR/MAKE/MODEL: 2004 CHEVROLET SPORT WG BI AND PD LIABILITY DBA DEPENDABLE JANITORIAL VIN/CAMPER: 1 GNDS13SO42145801 /$50,000 $250,DED. COMP. $250 DED. COMP. PO BOX 2546 AGENT NAME: RICHARD T WALDE INS AGY INC $250 DED. COLL. KEY LARGO FL 33037 AGENTPHONE: (305)944-6664 ENDORSEMENT NO: 6028E.5 POLICY EFFECTIVE POLICY MESSAGES: This policy shown above supersedes policyi 6176765-59T. FEB 09 2005 UNTIL TERMINATED The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. APPR B K Mk r' ;.,, BY (��-` DATE _ WAIVER FRT ACED CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) O1/11/2005 PRODUCER (305)247-5121 FAX (305)248-8543 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T.R. Jones & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1780 North Krome Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Homestead, FL 33030 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Jacqueline Guevara INSURERS AFFORDING COVERAGE NAIC # INSURED L & N DEPENDABLE JANITORIAL, INC. INSURER A: 'Hartford Casualty Ins. Co. 29424 PO BOX 2546 INSORERB Security Bond Associates, Inc KEY LARGO, FL 33037 INSURER INSURER D. INSURER E 1 IIYJVRAIYt.0 LIJ 1 CrJ DCLVVV riHVt tSttN IJSUtU I O I HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDINI ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IR LT ADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A X GENERAL LIABILITY X COMMERCIAL GENFRAI. LIABR ITY CLAIMS MADE L' _J OCCUR --_ 21SBMBM8916 11/22/2004 11/22/2005 EACH OCCURRENCE $ 1, 000, 000 DAMAGE TO RENTED $ 300, OO MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 _ GENT AGGREGATE LIMIT APPLIES PER X POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2 , OOO, OOO AUTOMOBILE LIABILITY .t�*: ; ` 11�4 EME ANY AUTO j -•�- .. „ ., �_�, COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS " -' — �' I ��" sy f"i/A �; -- YES BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ _ PROPERTY DAMAGE (Per accident) $ ----"---- GARAGE --- LIABILITY ANY AUTO ) AUTO ONLY - EA ACCIDENT $ OTHER THAN HAN EA ACC $ (rr�,� 1 ' ► AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR El CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY1 WC STATU- OTH- FIR ANY PROPRIETOR/PARTNER/EXEC UFIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ B If yes, describe under SPECIAL PROVISIONS below ormplH R Eoyee Dishonesty and OBS460042 10/30/2004 10/30/2005 E.L. DISEASE - POLICY LIMIT $ $25,000 Contains Conviction Clause DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS onroe County Board of County Commissioners is named as Add'l Insured for General Liability: r•ooT11M^Ar 1-1 — -.-. I Monroe County, Board of County Commissioners Attn: Maria Slavik 1100 Simonton St. Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Thomas Jones Jr./CER ACORD 25 (2001/g8) FAX: (305)292-4564 ©ACORD CORPORATION 1988 R211-BMO ACORDr. CERTIFICATE OF LIABILITY INSURANCE DATE /24/DDIYYYY) 6/2412005 PRODUCER Risk Transfer Holdings Suite 350 301 E. Pine Street Orlando, FL 32801 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Presidion Solutions, Inc. Suite 100 INSURER A: First Commercial Insurance Company INSURER B: 1440 W Indiantown Rd. INSURER C: Jupiter, FL 33458-7925 INSURER D: INSURER E: %1W THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OR ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY APID CLAIMS. INSR LTR D'L NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURANCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea oaurence $ MED EXP (Any one person) $ PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ ENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO' LOC T AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE UNIT (Ea accident) $ L OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS AP�/ ) a iil'1 �'. ANAGEMEIJ HIRED AUTOS NON -OWNED AUTOS /� /� BODILY INJURY (Per accident) $ DATE - m;' PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE 1 EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION /4 WORKERS COMPENSATION NAND EMPLOYERS' LIABILITY 17603-1 07/01 /2004 08/01 /2005 X TORY LIMITS OER E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS / ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Coverage is extended to the leased employees of alternate employer (Florida Operations Only): Dependable Janitorial & Building Maintenance Inc. #52334 (Effective 1/01/2004) DISCLAIMED: This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. rI=RTIFIr`ATF mirm IIFA .......�.. __._.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE 04680 TO THE CERIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO Monroe County Board Of Commisioner OBLIGATION OF LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Monroe 1100 Simonton St REPRESENTATIVES. Key West, FL 33040-3110 AUTHORIZED REPRESENTIVE i ACORD 25 (2001/08) �rG < iu er THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE SUNZ Insurance Company COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 1777 INSURERSAFF RDINCOVERAGE St Petersburg FL 33731 727-497-1247 INSURER SUNZ Insurance Company www.sunzinsurance.com A INSURER Ired B A.E.M., Inc. INSURER Suite 100 C 1440 W. Indiantown Road INSURER Jupiter FL 33458 D THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED I IHt INSUKtU NAmtU At$UVt rUK Ir1t t-ULII.T YCKIUU IIYUII.MI CU. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY POLICY INSR EFFECTIVE EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER MM DDE Y MM DDE Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIAB FIRE DAMAGE (Any 1 fire) $ CLAIMS MADE OCCUR MED EXP (Any one on) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS yjJ ;� _., i 'f-!y,;.I ` BODILY INJURY (Per accident) $ PROPERTY DAMAGE .- _... _._ .. _. _. � 1 (Per accident) $ GARAGE LIABILITY` ANY AUTO WAI\/'-P AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ 111 — AUTO ONLY: AGG EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ ��`` 1..� EACH OCCURRENCE $ AGGREGATE $ $ $ $ ,A, �WORKERS'COMPENSATION & EMPLOYERS' LIABILITY WCPE0000000301 18/1 /2005 8/1 /2006 STATUTORY LIMIT THER EL EACH ACCIDENT $ EL DSSE! S[ - EA EMPLOYEE $ EL DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Overage provided for all leased employees but not subcontractors of: DEPENDABLE JANITORIAL & BUILDING MAINTENAN ate of Florida Covergage Only G A -- Monroe County Board Of Commisioner 1100 Simonton Street Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 *DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- SENTATIVES. ' 10 Days for Non -Payment of Premium AUTHORIZED REPRESENTATIVE t� Doualas Lilak U� STATE EAEM CERTIFICATE OF INSURANCE SUIC I` URANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE ED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: ® STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois ❑ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas, or ❑ STATE FARM INDEMNITY COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown below NAMED INSURED: Nora Osten DBA Dependable Janitorial ADDRESS OF NAMED INSURED: PO Box 2546 Key Largo , FL 33037 POLICY NUMBER 012 0975 B19 591 EFFECTIVE DATE OF POLICY 08/17/05-02/17/06 DESCRIPTION OF 2005 Chevy VEHICLE (Including VIN) Express Van 1GCGG25V951130905 LIABILITY COVERAGE ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ff NO LIMITS OF LIABILITY a. Bodily Injury Each Person Each Accident E b. Property Damage Each Accident _ (4 CC odilY Injury c. Prope In Damage rty Single Limit Y. Each Accident 1,000,000 PHYSICAL DAMAGE ❑ YES ❑ NO COVERAGES ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO a. Comprehensive $ 250 Deductible $ Deductible $ Deductible $ Deductible ® YES []NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO b. Collision $ 250 Deductible $ Deductible $ Deductible $ Deductible EMPLOYERS NON -OWNED CAR LIABILITY COVERAGE ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO HIRED CAR LIABILITY COVERAGE ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO FLEET - COVERAGE FOR ❑ YES ❑ NO ALL OWNED AND LICENSED MOTOR VEHICLES I ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO 1:�Iynmmrr yr Autnorrcea rcepresentative L 5,,J y Name and Address of Certificate Holde ; ,j I Monroe County Board of County Commissioners Attn: Maria Slavick/Risk Management Administrator PO Box 1026 Key West, FL. 33041-1026 2753/A275596 01/04/06 Title Agent's Name and Address of Agent State Farm Insurance Richard T. Walde Agency 18383 NE 18th Rd N Miami Beach, FL. 33179 INTERNAL STATE FARM USE ONLY: ❑ Request permanent Certificate of Insurance for liability coverage. 122429.2 Rev. 06-10 004- ® Request Certificate Holder to be added as an Additional Insured. C. C THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINI ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR A DD'L X TYPE OF INSURANCE POLICY NUMBERATI: POLICY EFFECTIVE 11/22/2005 POLICY EXPIRATION LIMITS 0 ol $A2,00A,00 GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR 21SBMBM8916 11/22/2006 EACH OC%INJURY DAMAGE MED EXPson) $300,00 $10,00 PERSONURY $GENERALE $GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT LOC PRODUCP AGG $ AUTOMOBILE LIABILITY $ ANY AUTO COMBINED SINGLE LIMIT (Ea accident) ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS vv ik[ PROPERTY DAMAGE (Per accident) $ Li'i_ GARAGE LIABILITY ANY AUTO- 1 j ~ AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC AUTO ONLY: AGG $ /A1��R q!{s ,- $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMSMADE EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE C( $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- ANY PROPRIETORJPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? !E.. EACH ACCIDENT $ If yes, describe under PROVISIONS below OTH R OBS-460042 10/30/2005 B mp�loyee Dishonesty . DISEASE - EA EMPLOYEE $SPECIAL 10/30/2006 . DISEASE - POLICY LIMIT $ $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS J VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS onroe County Board of County Commissioners is named as Add'1 Insured for General Liability: CERTIFICATE HOLDER �...,.�...�..... Monroe County, Board of County Commissioners Attn: Risk Management 1100 Simonton St. Key West, FL 33040 ACORD 25 (2001/08) FAX: (305)295-3179 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Thomas R Jones ]r Agt of Record OACORD CORPORATION 1988 t CERTIFICATE OF INSURANCE URANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE D OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: ® STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois ❑ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas, or ❑ STATE FARM INDEMNITY COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown below: NAMED INSURED: Nora Osten DBA Dependable Janitorial ADDRESS OF NAMED INSURED: PO Box 2546 Key Largo , FL 33037 POLICY NUMBER 012 0975 B19 59J EFFECTIVE DATE OF POLICY 08/17/05-02/17/06 DESCRIPTION OF 2005 Chevy VEHICLE (Including VIN) Express Van 1GCGG25V951130905 LIABILITY COVERAGE ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO LIMITS OF LIABILITY a. Bodily Injury Each Person Each Accident r.. b. Property Damage Each Accident - ° U c. Bodily Injury& Property Damage „I Single Limit Y Each Accident 1,000,000 PHYSICAL DAMAGE COVERAGES ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO a. Comprehensive $ 250 Deductible $ Deductible $ Deductible $ Deductible ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO b. Collision $ 250 Deductible $ Deductible $ Deductible $ Deductible EMPLOYERS NON -OWNED CAR LIABILITY COVERAGE ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO HIRED CAR LIABILITY COVERAGE ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO FLEET - COVERAGE FOR ALL OWNED AND LICENSED MOTOR VEHICLES ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO 0-a cv,� D65-, rvame ana Aaoress oT Loertincate molaer agent 2753/A275596 01/04/06 Monroe County Board of County Commissioners Attn: Maria Slavick/Risk Management Specialist 1100 Simonton St. Key West, FL. 33040 Title Of Agent's Code Number State Farm Insurance Richard T. Walde Agency 18383 NE 18th Rd N Miami Beach, FL. 33179 IN I tKNAL J 1 A 1 t t-AKM USE ONLY: LJ Request permanent Certificate of Insurance for liability coverage. 122429.2 Rev. 06-10-2004 0 Request Certificate Holder to be added as an Additional Insured. 8/4/2005 Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE SUNZ Insurance Company SU Box Insurance p y COVERAGE AFFORDED BY THE POLICIES BELOW. 1777 St Petersburg FL 33731 INSURERS AFFORDING COVERA E 727-497-1247 INSURER SUNZ Insurance Company www.sunzinsurance.com A INSURER Insured B A.E.M., Inc. INSURER Suite 100 C 1440 W. Indiantown Road INSURER Jupiter FL 33458 D NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY POLICY ;R EFFECTIVE EXPIRATION R TYPE OF INSURANCE POLICY NUMBER MNDATE Y MNDATTE Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIAB FIRE DAMAGE (An 1 Fwe) $ CLAIMS MADE OCCUR MED EXP (Any one on) $ PERSONAL & ADV INJURY $ GENERALAGGREGATE $ GEN'L AGG LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Z._ ,_ . ...a ,f, M _... . _ �'sS':-I�ii COMBINED SINGLE LIMIT E BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO — — - - _ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION $ 7. ,n_ (� Cc l /T`' 4—r EACH OCCURRENCE $ AGGREGATE $ $ $ 4 WORKERS' COMPENSATION & EMPLOYERS' LIABILITY WCPE0000000301 18/1/2005 18/1 /2006 V1 STATUTORY LIMIT THER ` EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ PTION OF OPERA S ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Dvera a provided for all leased employees but not subcontractors of: DEPENDABLE JANITORIAL & BUILDING MAINTE :ate of Florida Covergage Only c- o e.S VN a r` C;-- I52334 Monroe County Board Of Commisioner 1100 Simonton Street Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 ' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- SENTATIVES. ' 10 Days for Non -Payment of Premium AUTHORIZED REPRESENTATIVE Lt Douqlas Lilak THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT R DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE IMM/DDNYI LIMITS A X GENERAL LIABILITY MMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR T 21SBMBM8916 11/22/2005 11/22/2006 EACH OCCURRENCE $ 10000,00 DAMAGE TO RENTED $ 300,000 00 , 00 MED EXP (Any one person) $ 10,00d PERSONAL & ADV INJURY $ 11000,00 GENERAL AGGREGATE $ 2 9 000, 00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,00 AUTOMOBILE LIABILITY $ ANY AUTO COMBINED SINGLE LIMIT (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS dIPM J f/-' ,: ry( _ q s. ! ut BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS l / "— /\�. BODILY INJURY (Per accident) $ ---- ''.` PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO LY - EA ACCIDENT $ HAN EA ACC LY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE i � CURRENCE $ ATE IDISEASE $ RETENTION $ --t WORKERS COMPENSATION AND EMPLOYERS' LIABILITY STATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ACCIDENT $ ASE - EA EMPLOYE $ B If yes, describe under SPECIAL PROVISIONS below orH R mp�oyee Dishonesty OBS-460042 10/30/2005 10 30/2006 / ASE - POLICY LIMIT $ $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS onroe County Board of County Commissioners is named as Add'l Insured for General Liability: CE TIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORq EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MMonroe County, Board of County Commissioners 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO Attn: Maria Slavik BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR L 1100 Simonton St. OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTATIVE Thomas R ]ones Jr A t of Record ACORD 25 (2001/0�) FAX: (305)292-4564 ©ACORD CORPORATION 1988 S IN CERTIFICATE OF INSURANCE INSURANCE RANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: ® STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois ❑ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas ❑ STATE FARM INDEMNITY COMPANY of Bloomington, Illinois, or ❑ STATE FARM GUARANTY INSURANCE COMPANY of Bloomington, Illinois has coveraqe in force for the following Named Insured as shown below: I---_ -. NAMED INSURED: Nora Osten DBA Dependable Janitorial `-° vED ADDRESS OF NAMED INSURED: PO Box 2546 Key Largo, Fl. 33037 s 8 2 1 POLICY NUMBER 012 0975 B19 59J ' EFFECTIVE DATE OF POLICY 02/17/2006 ON P K MANAGEMEPI i DESCRIPTION OF 2005 Chev. VEHICLE (Including VIN) Express Van LIABILITY COVERAGE ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO LIMITS OF LIABILITY a. Bodily Injury Each Person Each Accident b. Property Damage - g - �� Each Accident c. Bodily Injury & Property Damage Single Limit Each Accident 1,000,000 PHYSICAL DAMAGE COVERAGES ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO a. Comprehensive $ 250 Deductible $ Deductible $ Deductible $ Deductible ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO b. Collision $ 250 Deductible $ Deductible $ Deductible $ Deductible EMPLOYERS NON -OWNED CAR LIABILITYCOCOVERAGE ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO ElYES ElNO HIRED CAR LIABILITY YES ® NO ❑ YES ElNO ❑ YES ElNO ElYES ElNO COVERAGE FLEET - COVERAGE FOR n� oT�E H� ICCLELICENSEDI ❑ ES ® NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO '' 1 +a • Agent 2753 4/11/06 vre of Authorized Representative Title Name and AUOTeSS of Ueniticate Holder Monroe County Board of County Commissioners Attn: Maria Slavick/Risk Management Administrator PO Box 1026 Key West, Fla. 33041-1026 [all State Farm Insurance Richard T. Walde Agency 18383 NE 18 Rd. N. Miami Beach, Fla. 33179 INTERNAL STATE FARM USE ONLY: ❑ Request permanent Certificate of Insurance for liability coverage. 122429.3 Rev. 07�?6-2005 ® Request Certificate Holder to be added as an Additional Insured. C-C- DATE(MM)DDIYYYYI ACORD,N CERTIFICATE OF LIABILITY INSURANCE IWCBVOAH 09/25/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lighthouse -programs, ttc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 301 E. pine Stret HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 350 RECEIVED LTERTHE COVERAGE AFFORDED BY THE POLICIES BELOW. Orlando, FL 32801 _ SURERS AFFORDING COVERAGE INSURED ASH, Inc. dos Mirabilis 8095 NW 12th Street Suite 301 Miami, FL 33126 OCT'�l� C7 �� 1 MONROE COUNTY I URERA:SUA Insurance Company I USERS: I*URER C: I URER D: _ NAIC # COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. HISS LTR NS TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE MMID DM' POLICYEXPIRATION DATE MMIDDIYY LIMITS EACH OCCURRENCE $ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY PREMISES Eaoccprence $ MED EXP (Any one person) $ CLAIMS MADE D OCCUR PERSONAL B AM INJURY S GENERALAGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ POLICY PRO- LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS ., .- J - . BODILY INJURY (Per parson) $ HIRED AUTOS NONAWN ED AUTOS `/T 14v i)�_ (�/f BODILY INJURY (Far nQ $ PERT PROPERTY DAMAGE (Per ecutlent) $ GARAGE LIABILITY r AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACO AUTO ONLY: AGG $ ANY AUTO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR C] CLAIMS MADE y/�y17 LQ 8 S DEDUCTIBLE 8 RETENTION $ A WORKERS COMPENSATION AND WSLTHPE 000080-02 01/01/2006 01/Ol/2007 _ X WRY LIMIT ER E.L. EACH ACCIDENT $ 1,000,000 EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE S 1,000,000 EL. DISEASE -POLICY LIMIT $ 1,000,000 It yes, descibe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Coverage is extended to the leased employees of alternate employer (Florida Operations ONLY): Dependable Janitorial & Building Maintenance, Inc 52334 (Effective 1/1/06) DISCLAIMER: This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. Monroe County Board of County Commissioners 1100 Simonton Street Kev West. FL 33040 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATETHEREOF, THE ISSUING INSURER WILL ENDEAVORTO MAIL 30 DAYS WRITTEN NOTICETO THE CERTIFICATE HOLDER NAMEDTOTHE LEFT, BUT FAILURETO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. REPRESENTATIVE 1 of 1 GG:.3" © ACORD CORI ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ry AEM-3338 01/18/2006 PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lighthouse -Programs, LLC 301 E. Pine Stret suite 350 Orlando, FL 32901 INSURED AEM, Inc. dba Mirabilis 8095 NN 12th Street Suite 201 Miami, FL 33126 nrvienwn_ec INSURERS AFFORDING INSURERA:SUA Insurance INSURER B: INSURER C: INSURER D: INSURER E: PON THE CERTIFICATE NOT AMEND, EXTEND OR BY THE POLICIES BELOV NAIC # THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE O INSURANCE POLICY NUMBER PDATE MFFECTNE DATE M PIRA710N LINKS GENERAL LLAMUTY COMMERCIAL GENERAL LIABILITY IMS MADE OCCUR CLAE EACH OCCURRENCE E r PREMISES occurence $ MED EXP (Any one Peron) E PERSONAL S AOV INJURY $ GENERAL AGGREGATE E GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS-COMP/OP AGO E AUTOMOBILE UASILRY MY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NOWOWNED AUTOS , j I COMBINED SINGLE LIMIT (Ee accident) E BODILY INJURY (Par � E BODILY INJURY (Per accident) E PROPERTY DAMAGE (Par accident) E GARAGE LIABILITY ANY AUTO - 41. AUTO ONLY -EA ACCIDENT E OTHERTHAN EA ACC AUTO ONLY: AGO E E EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION E r ;Gl/01/20O�7X EACH OCCURRENCE E AGGREGATE E $ S E A WORKERS COMPENSATION AND EMPLOYERS-LIABILITY ANYCERIMEETOREXCL DED? CUTNE OFFICERRAEMBER EXCLUDED? It yes describe under SPECIAL PROVISIONS be1ow WSLTHPE 000080-02 01/01/2006 WCSTTUT OTH- E.L. EACH ACCIDENT E 1,000,000 E.L. DISEASE EA EMPLOYEES 1,000,000 E.L. DISEASE POLICY LIMIT E 1,000,000 OTHER -T DESCRIPTK)N OF OPEMTbNS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Coverage is extended to the leased employees of alternate employer (Florida Operations ONLY);. Dependable Janitorial 6 Building Maintenance, Inc 52334 (Effective 1/1/06) DISCLAIMER: This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES DATE THEREOF, THE ISSUING INSURERWILL ENDS/ THE CERTIFICATE HOLDER NAMED TO THE LEFT, BI OBLIGATION OR LIABILITY OF ANY NIND UPON THE REPRESENTATIVES. :D BEFORETHE EXPIRATION S DAYS WRITTEN NOTICETO DO SO SWILL IMPOSE NO Monroe County board Of Commissioner 1100 Simonton Street Key Largo, FL 33037 / :ORD 25 (2001108) c c. AUTHORIZED REPRESENTATIVE Pace 1 of 1 ACQBDe CERTIFICATE OF LIABILITY INSURANCE D /D006 11/08/08/2006) PRODUCER (305)247-5121 T.R. Jones & Company 1780 North Krome Avenue Homestead, FL 33030 FAX (305)248-8543 - — THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. _ INSURERI AFFORDING COVERAGE NAIC # INSURED DEPENDABLE JANITORIAL & BUfLDINP MAINTENANCE , ws, ERA. 'Hartford Casualty Ins. Co. 29424 PO BOX 2546 KEY LARGO, FL 33037 I INS, ERB ld Republic Surety 40444 1 Ns ERC rnvoowr_ec THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OF CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD' TYPE OF INSURAIJCE POLICY NUMBER POLICY EFFECTIVE (MMInDfYY1 POLICY EXPIRATIONDATE DATE IMM/nnW, LIMITS A GENERAL LIABILITY X COMMERCIAL GENERrAL LIABILITY CLAIMS MADE L� OCCUR 21SBARM5600 11/14/2006 11/14/2007 EACHOCCURRENCE $ 11000,006 ' DAMAGE TO RENTED PRFMIqFqf $ 300,00 $ 10,00( MED EXP (Any one person) PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - X POLICY JECT CT OC PRODUCTS - COMP/OP AGO $ 2,000,00 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per (Par person) HIRED AUTOS NON -OWNED AUTOS � . BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ _..- GARAGE LIABILITY ... AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGO $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE 1 EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ UV $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- E. L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERMiEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, desarl» under SPECIAL PROVISIONS belay E.L. DISEASE - POLICY LIMIT $ B �IT% PARTY CRIME OBS-460042 30/30/2006 10/30/2007 $50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ertificate Holder is an Additional Insured for General Liability as respects the operations f the Named Insured as per THE BUSINESS LIABILITY FORM #SS0008. GG. OL n ( C_ Monroe County Attn: Risk Management 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE OACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108) ACORD,. CERTIFICATE OF LIABILITY INSURANCE U022 of-02 zoo; FRonuDER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T.R. JONES & COMPANY/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 227176 P: (866)467-8730 F: (877)5 - E THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 29611 EIVED INS RERS AFFORDING COVERAGE CHARLOTTE NC 28229 (INSURED _ - - - -- INSURERA:Har for Casualty. Ins Cc DEPENDABLE JANITORIAL & BUILD NG JAN IN RE _ MAINTENANCE, INC. INSUR _ PO BOX 2546 INSURER D' COVERAGES IvIRIVAGEMENT - THE POLICIES OF INSURANCE LISTED BELOW -HAVE BEEN ISSUED TO THE INSURED HE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLWYE/NSR DATE(MFF Y) DATE OM/TS LTR TYRE OF INSURANL:E POLICYNUMBER DATE (MMR/D/VV) DATE lMM/OD/VY) OEAERAL LIABILITY EACH OCCURRENCE $1 000, 000 A COMMERCIAL GENERAL �LIABILITY 21 SBA RM5600 11/14/06 11/14/07 FIRE DAMAGE( Any one fire) s300, 000 CLAIMS MADE EIK-1 OCCUR MED EXP Any one person) $10 000 ' X Busine Ss Llab PERSONAL &ADV INJURY $l 000 000 GENERAL AGGREGATE s2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO s2,000,000 POLICY PRO- JECT X LOC _. AUTOMOBKELMRMITV COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO • "^ 1 ALL OWNED AUTOS 1/�jis�LAC' BODILY INJURY 9 � (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY s NON -OWNED AUTOS �\)I'�/ / l (Per accident) 1� PROPERTY DAMAGE 5 V •'A/` PROPERTY entl OARAOE [MBILOY AUTO ONLY - EA ACCIDENT $. ANY AUTO OTHER THAN EA ACC $. AUTO ONLY: AGG S EXCESSL/ASK/TY EACH OCCURRENCE 51, 000, 000 A X OCCUR iCLeIMSMADE 21 SBA RM5600 11/14/06 11/14/07 AGGREGATE $1,000,_000 DEDUCTIBLE $ X RETENTION $10, 000 $ WC OER WORKERS LOMP£NSATN)N AND TORY LIMITS I I. ER � EMPLOYERS' L/ARAffY E.L. EACH ACCIDENT $ . E.L. DISEASE - EA EMPLOYEE $ E L. DISEASE POLICY LIMIT $ OTNER DESCRMTVN OF OPERATIONSKOCAT/ONSNENML U EXCLUS/ONS ADDED BY ELDORSEMENT/SPIECIAL PROIAWNS j Those usual to the Insured's Operations. Monroe County Board of County Commissioners is also an Additional Insured per the Business Liability Coverage form, SS0008, attached to this policy. CERTIFICATE HOLDER aDDIrmAL INSuRED; INsuRER uYnER A_ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Monroe Cc Board of Co. Commissioners 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE Attn : Risk Management (HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO g (OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St. REPRESENTATIVES. Key West, FL 13040 T/VF -- --------------II I /,IIMiOLD RFORL.CFMG ACORD 25-S (7)A7) ® ACORD CORPORATION 1988 ACORD.- CERTIFICATE OF LIABILITY INSURANCE 1F9G1UHV DA1E(MM�D ) 6 PRODUCER RECEIVED THI FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ra Lighthouse-Progms, LLC AND CO FERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 301 E. Pine Street TIFI TE DOES NOT AMEND, EXTEND OR ALTER THE Suits so Orlando,, FL 32807 C co A E AFFORDED BY THE POLICIES BELOW. IN URE AFFORDING COVERAGE NAIC M JAN 1 1 2007 INSURED IN.JURER A:I SUA Insurance Company AEM, Inc. dba Mirabilis IN URER B: 8096 NW 12ih Street MONROE COUNTY IN5URERQ Suite 301 Miami, FL 33126 RISK MANAGEMENT JakUR R D' INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OR ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY APID CLAIMS. INSR LTR ' NERD TYPE OF INSURANCE POLICY NUMBER POA i EFFECTNE DATE MMIDD POLICY EXPIRATION DATE MRA LIMITS GENERAL LIABILITY EACH OCGURANCE § COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Es omunnu § MED EXP (Any one person) $ PERSONAL B ADV INJURY $ GENERALAGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- jErT LOC PRODUCTS -COMPIOP AGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE UNIT (Ea ecadenl) $ LL OWNED AUTOS BODILY INJURY ro (Per person) $ SCHEDULED AUTOS 1: HIRED AUTOS BODILY INJURY leer eccidenq $ NON -OWNED AUTO$ - -_ 17 ' -- PROPERTY DAMAGE (Per ecadenp § GARAGE LIABILITY AUTO ONLY - EA ACCIDENT INANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESSIUMBRELLA LIABILITY OCCUR ❑CLAIMS MADE 40 EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WSLTHPE000080-03 01/01/07 01/01/08 oTH- TORV LIMITS ER E.L. EACH ACCIDENT $ 1.000,000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000 H yes, describe under SPECIAL PROVISIONS below EL DISEASE POLICY LIMIT $ 1.000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS I ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Coverage is extended to the leased empplo ees of alternate employer (Florida Operations ONLY): Dependable Janitorial & Building Maintenance, Inc 52334 (Effective 1/1/06) DISCLAIMER: This Certificate Insurance does of not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alterhe coverage afforded by the policies listed thereon. CGr i CERTIFICATE HOLDER .......�..._._.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO 05464'""""""3-DIGIT 330 Monroe County Board of County Commissioners OBLIGATION OF LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St REPRESENTATIVES. Key West, FL 33040-3110 AUTHORIZED REPRESENTIVE IIIIIIIII IIIIIIIIIIIIIIIIIIII IIIII I1111 )II II IIIIIIII I1111 �1'll ACORD 25 (2001/08) ACORDa CERTIFICATE OF LIABILITY INSURANCE 11/08/2006 PRODUCER (305)247-S121 FAX (305)248-8543 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T.R. Jones & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1780 North Krome Avenue . THIS CERTIFICATE DOES NOT AMEND, EXTEND OR R ECEfVE ALTER HE COVERAGE AFFORDED BY THE POLICIES BELOW. Homestead, FL 33030 INS RERJ AFFORDING COVERAGE NAIC # INSURED DEPENDABLE JANITORIAL & BU LDIN MAJNNyNSNCE�Q NSU ERA. Hartford Casualty Ins. Co. 29424 PO BOX 2546 I // INSU ER ld Republic Surety 40444 KEY LARGO, FL 33037 INsu RC. INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD'! TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE 11/14/2006 POUCYEXPIRATION 11/14/2007 LIMITS GENERAL LIABILITY 21SBARMS600 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE 70 RENTED $ 300,000 CLAIMS MADE M OCCUR $ 10,000 MED EXP (Any one person) A PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER X POLICY PHI LOC ECT PRODUCTS - COMP/OP AGG $ 2,000,00 AUTOMOBILE LIABILITY ANY AUTO CEO emE Dt) SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS ' BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ ""-- GARAGE LIABILITY - .-.. _._. AUTO ONLY - EA ACCIDENT $ ANVAUTO '� OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND SI IMIT OTH- OT EMPLOYERS' LIABILITY 'E.-LEACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE / OFFICER/MEMBER EXCLUDED? S yaC describe under SPECIAL PRO'JISIOPiS bolow - -' E.L. DISEASE - EA EMPLOYEE $ EL. DISEASE -POLICY LIMIT $ B RD PARTY CRIME IER OBS-460042 10/30/2006 10/30/2007 $50,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ertificate Holder is an Additional Insured for General Liability as respects the operations f the Named Insured as per THE BUSINESS LIABILITY FORM #SS0008. GC.` /15�17a17-e_ Monroe County Attn: Risk Management 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Thomas R Jones Jr Agt of Record AwnU ZO (ZUUT/UU) CACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108) U% STATE FARM INSURANCE COMPANIES' 7401 Cypress Gardens Boulevard Winter Haven FL 33888 DATE OF NOTICE: MAR 12 2007 CODE: 19 181A MONROE COUNTY BOARD OF COUNTY COMMISSIONERS PO BOX 1026 KEY WEST FL 33041-1026 III IIIII IIIII IIIII III IIIIIIIIII III II IIIIIIII III IIIII III IIIIII NOTE: PLEASE NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDITIONAL INSURED'S NOTICE OF COVERAGE Stale Farm Mutual Automobile Insurance Company 2753-F606-L NAMED INSURED: POLICY NO: 212 0560-605-59E COVERAGE: OSTEN, NORA YR/MAKE/MODEL: 2004 CHEVROLET VAN BI AND PC LIABILITY DBA DEPENDABLE JANITORIAL VIN/CAMPER: 1 GOGG25VS41102214 $1 MIL $250 DIED. COMP. PO BOX 2546 AGENT NAME: RICHARD T WALDE INS AGY INC $250 DIED. COLL. KEY LARGO FL 33037 AGENT PHONE: (305)9"-6664 ENDORSEMENT NO: 6028E.5 POLICY EFFECTIVE MAR 08 2007 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 2120560-59D. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the anent of the Insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice If the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. FRT ACOROmJ.1 _u v �Dece (mm/aa/YY) �.hR�(� t. Producer Glen J Distefano XL = _ . _-' 3/29/2007 ail THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SUNZ Insurance Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE PO Box 1777 COVERAGE AFFORDED BY THE POLICIES BELOW. St Petersburgg FL 33731 INSUIRLIRS AFFORDING COVERAGE 727-497-1247 www.sunzinsurance.com INSURER SUNZ Insurance Company INSURER Insured The Human Resource Enterprise Corporation INSURER INSURER 8095 NW 12th Street, Suite 301 Miami FL 33126 INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN "ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. " NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIAB CLAIMS MADE []OCCUR o t EACH OCCURRENCE g = FIRE DAMAGE (Any one fire) § MED EXP (Any one pe on) E ��1 t�� "I PERSONAL & ADV INJURY § GENERAL AGGREGATE q __1PO AGG LIMIT APPLIES PER POLICY ROJECT LOC AUTOMOBILE LIABILITY PRODUCTS-COMP/OP AGG § E ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS F COMBINED SINGLE LIMIT -INJURY § 60DIL (Per Person) E BODILY INJURY (Per accident) E C% PROPER DAMAGE GARAGE LIABILITY ANY AUTO l� - (Per eccieenq AUTO ONLY -EAACCOENT § § OTHER THAN EA ACC AUTO ONLY: AGG E E EXCESS LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE E AGGREGATE § § DEDUCTIBLE RETENTION § & EE STATUTORY LIMIT THEBILITYWCPE0000000302 EL EACH ACCIDENT E 10000 8/1/2006 8/1/2007 EL DISEASE - EA EMPLOYEE E EL DISEASE -POLICY LIMIT § LWORKERS'ENSATION AIIUNWLUCATIONS[VEHICLESIEXCLUSIONSIAL VI"IYS State of Florida Coverage Only Coverage Provided for all Leased Employees but not Sub -Contractors of: Dependable Janitorial & Building Maintenance, Inc 52334 Client Effective: 03/26/07 CEkfi y= 52334 Monroe County Board of County Commissioners CANCUATAW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION 1100 Simonton Street Key West FL 33040 OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE. SENTATIVES. 10 Days for Non -Payment of Premium AUTHORIZED REPRESENTATIVE Douglas Lilak rJ '"�✓� A0012425-S 7 ��fL4T'ItlN'19'8�� DAT ACORD CERTIFICATE OF LIABILITY INSURANCE %i%zoo88YYY) PRODUCER (305)247-5121 FAX: (305)248-8543 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NFERS NO RIGHTS UPON THE CERTIFICATE T.R. Jones 6 Company (^(—(��pp�-(�'�Y[[ DER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1780 N Krome Avenue I R ECE R THE CO ERAGE AFFORDED BY THE POLICIES BELOW. Homestead FL 33030 INSURED Dependable Janitorial 6 Bldg. PO Box 2546 INSURERS Ce, InC �N94WVPA: H INSURER B:O IKey Largo FL 33037-2546_INsuRER e !COVERAGE Casualtv THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEE 4 REDIjJCED BY PAID CLAIMS. INSR ADVL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY POLICY EXPIRATION DATE MM/DDNY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO PREMISES (Ea occur REED) $ 300, 000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any oneperson) $ 10,000 A CLAIMS MADE ❑X OCCUR 21 SBA Fdrii 11/14/2007 11/14/2008 PERSON L&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 DEVIL AGGREGATE LIMIT APPLIES PER: PR D C S-COi $ 2,000,000 X POLICY PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS tl 4 U�/ I/n(Per PROPERTY DAMAGE accident) $ GARAGE LIABILITY AUTOONLY -EAACCIDENT $ OTHERTHAN EAACC $ ANV AUTO $ AUTO ONLY. AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH 0 CURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ A DEDUCTIBLE 21 SBA RM5600 11/14/2007 11/14/2008 $ X1 RETENTION 10, 000 1. AA, WORKERS COMPENSATION AIJD_40 WC STATU- OTH- Y LIMITS ER EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E. L. EACH ACCIDENT $ E L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED') R yes, describe under SPECIALALPROVISIONS below E.L. DISEASE -POLICY LIMIT 8 B OTHER Crime Coverage/Bond OBS-460042 10/30/2007 10/30/2008 Employee Dishonesty $50,000 DESCRIPTION OF OPERATIONS/LOC,ATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Certificate Holder is an Additional Insured for General Liability as respects the operations of the Named Insured as per THE BUSINESS LIABILITY FORM ;SS0008. (305)292-4487 Monroe County Board of County Commissione Attn: Risk Management 1100 Simonton Street Key /West, FL 33040 Cc ••Gc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE AUTHORIZED REPRESENTATIVE Thomas R Jones Jr Agin of Record tD ACORD CORPORATION 1988 INS025 (oloe) oea Page 1 or,, CERTIFICATE OF INSURANCE 3� s RANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CIERTFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: ® STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois ❑ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas ❑ STATE FARM INDEMNITY COMPANY of Bloomington, Illinois, or ❑ STATE FARM GUARANTY INSURANCE COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown below: NAMED INSURED: Nora Osten DBA Dependable Janitorial ADDRESSOF NAMED INSURED., PO Box 2546 Key Largo, FL. 33037 POLICY NUMBER 012 0975 B17 59P EFFECTIVE DATE OF POLICY 02/17/08-08/17/08 DESCRIPTION OF 2005 Chevrolet VEHICLE (kxw g viN) Express Van lgcgg25v951130905 LIABILITY COVERAGE ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO LIMITS OF LIABILITY a. Bodily Injury Each Person Each Accident b. Property Damage CC, Each Accident t c. Bodily Injury & Property Doge �J single Limit r , 'v `.C,C Each Accident 1 MM PHYSICAL DAMAGE COVERAGES ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO a. Comprehensive $ 250 Deductible $ Deductible $ Deducible $ Deductible ® YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO b. Collision $ 250 Deduc6b4o $ Deductible $ Deductible $ Deducble OYERS MON-OWNED CCAARRLIABILnY COVERAGE ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO HCOVERAGE IRED CAR Lwelury ❑ YES ® NO ❑ YES ❑ NO D YES ❑ NO ❑ YES ❑ NO FLEET -COVERAGE FOR MDT ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO Monroe County Board Risk Management 1100 Simonton Key West, FL. 33040 Attn: Monique Diaz INTERNAL STATE FARM US 122429.3 My. 07-25-2005 County 59-2753 02 State Farm Ins 18383 NE 18"" Rd N Miami Bch., FL. 33179 RK;f1A" 1UYA63E TNS AOCY 59-2753 AFO DARE' NORTH F606 A275596 Request permanent Certificate of Insurance for liability coverage. Request Certificate Holder to be added as an Additional Insured. ACORD,N DATE w' Iy08__-30-2008 CERTIFICATE (:F � IgE3iLITY HI��R�FRgIY�EUED A' A MATTER OF INFORMATION I ICAIE OD ' Y AND CON" ERS NO RIGHT UPON THE CERTIFICATEOR TR JONES COMPANY / PHS - 'EDER THIS LERTIFICATE R ' HE COVERAGE AFFORaII J BC= THE POLICIES BEEXTENDOW. 22717 6 P : O - F : �) _ .... _,. _ _ AS AFFOI,DIN, OVERAGE PO BOX 29611 nrr1nT.(1TTE NC 28229 INSUREO BjJILI DEPENDABLE JANITORIAL & MAINTENANCE, INC. 2546 PO BOX COVERAGES ANY REOUINEPncnr, r. MAY PERTAIN. THE IN: POLICIES, AGLIREGATE �L,,�� lN3�l1RE K�Iartf d Casualty SEPiwalNl'RO ns IfNY F;ff-THE POLII:r rLn,v" - - CE LISTED BEE�`� OR CONDITION OF ANY CONTRA( 18 F OR OTIII H DOCUMENT WITH FII +PE/ TO WHICH THIS, CAIIFICATF LiAY BE ISSUED TS INS SHOWN MAO HAN ECE AFFORDED By I RCON RA( ICFD BIBIP-HEREIN I 1p CLAIMS SUBJECT 1 O At : 1 HE TERMS. EXCU.ISIONS ANU-COSNDITIONS OF SUCH POLICY 'EFFECTIVE POLICY M MRATION - OO O O ( __----- - -- — DATE IMMIDDIYVI ,. NSR TYPE OF INSUHANcc LTA _�-�-- GENERAL LIABILITY A COMMERCIAL GENERAL LIABILITY ��-I CLAIMS MADE y1OCCUR X General Liab �� 'L AGGREGATE LIMIT APPLIES PER: POLICY JECT_ X LOC AUTOMOBILE LIABILITY �I ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS 'I HIRED AUTOS F 1 I NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO POLICY LM NUMBER DATE MIDDIVY EACH OCCURRENCE _i, 5 , r -- 21 SBA RM5600 11/14/08 11/14/09 iEwEOAMAGEIA"v�=,er,es300, 000 l I, MFD EXP IAnY__re (e,eoa 'i sl O 1 000 PERSONAL & ADV IN.IURY sl , 0 0 0 ,_ C 006,C II GENERAL AGGREG:' fE sZ -... pRODUCTs-COMP UP AGG s2 , 000 , !COMBINED SING. r LIMIT ! 5 IEa acciden0 i_ BODILY INJURYBODILY !! 5 5 Per cc,de•qY 4tVPROPERTY �I, DAMAGE IPe, scoden0 EXCESS LIABBJn __ A I X I OCCUR li CLAIMS MADE 121 SBA RM5600 ni 10 nM Y - EA ACCIDENTI EA ACC I OTHER THAN --T- - iAUTO ONLY. _— _AGO _!5 - EACH OCC'.iRRENCE 5 - ,.O OO r OOO G E 1,000,000— 11/14/081111/14/0_ _AGGR GAIE _ -- 1 _ DEDUCTIBLE Y T WC STATU- O LH'—� _ 1 IgRY-LIMITM�—ER-� - X (O, 0 0 0 F--- ,V'/^w' LE.L. EACH ACCIDENT, RETENTION $1( WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I E.L. DISEMSE- EA EMPLOYEE $ EDISEASE -POLICY LIMIT S OTHER N DESCRIPTION OF OPERATIONSILOCATIONSIVEHIOLESIEXCL ED BV ENDORSEMENTISPECIAL PROVISIONS Those usual to theInsured's Operations. Monroe Commissioners is also an Additional Insur�dlper Coverage form, SS0008, attached to this p I• HAD ANY TIE ABOVDESCRIBED P CANCELLED Bff RHATION DAIS T HEOEOFE THE ISSUING M !UIRERRWLL ENDEAVOR TORMAIL DAYS WRITTEN NOTICE (10 DAYS Foil NAMED TO HE LEFT,, BUT FAIII UREOTIO DO SO SHALL 4 PAYMENT) TO THE MPL SE NO cERTIFICA L LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR �RESENTATIVES. �-- Monroe Co Board of Co. Commissioners IAttn: Risk Management 1100 Simonton St. Key West, FL 33040 County Board of County the Business Liability 7ACORD CORPORATION 19 25-S (7197) ,aiii CERTIFICATE OF LIABI ` `r-- ISSUED AS A MATTER OF INFORMATION 247-5121 FAX: (305) 248-8543 THIS CERTIFICATE IS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE NOT AMEND, EXTEND OR PaoOucER (305) HOLDER. THIS CERTIFICATE DOES AFFORDED BY THE POLICIES BELOW. T.R. Jones & Company _.. ALTER. THE COVERAGE 1780 N Krome Avenue (` � C DIN COVERAGE NAIC # Homestead FL 33030 INSURER A'. Hflrt ord asualt 29424 INSURED Dependable Janitorial & Bldg. Mainte nce a 1C Surat lei INSURER C PO Box 2546 &'h 33037-2546 REq ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY PERTAIN. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED , CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY AND CONDITIONS OF SUCH POLICIES. REQUIREMENT, TERM OR CONDITION OF ANV HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MMIDD/YY DATE MMIDDIYY 1,000100( INSR ADD'L TYPE OF INSURANCE E $ GENERAL LIABILITY DAMAGE TO RENTED $ 30 , 001 cc I rre c X COMMERCIAL GENERAL LIABILITY 10,001 11/14/2007 11/14/2008 MEDEXP An one arson $ A CLAIMS MADE a] OCCUR 21 BHA RM5600 P R A VI Y $ 1,000,001 If 2,000,00� GENERAL AGGREGATE IS 2,000,00 PR - M/ A GENT AGGREGATE LIMIT APPLIES PER. PRO. OC X P LILY T COMBINED SINGLE LIMIT 8 AUTOMOBILE LIABILITY (Es, acddenq ANY AUTO - , --jam BODILY INJURY $ ALL OWNED AUTOS ITNI (Per person) SCHEDULED AUTOS t' - INJURY $ HIRED AUTOS ,� __ (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE $ X (Per accident) AUTO ONLY.EAACCIOENT $ , GARAGE LIABILITY OTHER THAN E A $ ANY AUTO s AUTO ONLY'. AGG $ $ 1,000,01 EXCESB/UMBRELLA LIABILITY 1 1,000,01 AGGREGATE CLAIMS MADE U $ �$ OCCUR 11/14/2007 11/14/2008 $ A DEDUCTIBLE 21 SSA RMS600 X RETENTION 10 000 WC STATU- OTH. WORKERS COMPENSATION AND E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - POLICY LIMIT $ If yes, describe under P IA PR VI IONS below 10/30/2008 10/30/2009 Employee Dishonesty 50 , C B OTHER Crime Coverage/Bond OBS-460042 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONSADDED BY ENDORSEMENTISPECIAL PROVISIONS Certificate Holder is an Additional Insured for General Liability as respects the operations of the Named Insured as per THE BUSINESS LIABILITY FORM #SS000S. (305)292-4487 Monroe County Board of County Commissions, Attn: Risk Management 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LABILITY OF ANY KIND UPON THE AUTHORIZED REPKESCK i n- i— Thomas R Jones Jr Agt of Record ACORD 25 (2001108) INS025 (0108).08a )N 1988 Page 1 of 2 CERTIFICATE OF LIABILITY INSURANCE 1 DA1(2AM/126 8 Producer _ THIS CERTIFICATE IS ISSUED AS A MATTER OF M - INFORIVt ION ONLY AND CONFERS NO RIGHTS UPON THE Providence Property &Casualty , r � ; " l._ P.O. BOX 2009 i CERTIFIC 4TE HOLDER. THIS CERTIFICATE DOES NOT A ND, TEND OR ALTER THE COVERAGE AFFORDED BY Frisco, TX 75034 � THE POLI IES BELOW. INS,�URE S AFFORDING COVERAGE NAIC # Insured - INSURER A: Providence Property and Casualty 1 28711 02HR, LLC L/C/F _ ._LIV,SURER B: Dependable Janitorial _ - - 2031 NW 53rd St t1r'a�7 70 17 INSURER C: Ft Lauderdale, FL 33309 INSURER E: .. P...!-rf A 0%rA VVY Vw9v VV THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MM/DD LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE = OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO - PRODUCTS — COMP/OP AGG $ POLICY 71 JECT 7 LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HI RED AUTOS NON -OWNED AUTOS J ( 11{ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY — EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS LIABILITY OCCUR ❑ CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ DEDUCT 'BLE $ $ RETENTION $ 9 WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS LIABILITY X TORY LIMITS ER ANY PROPRIETER/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000 000 A OFFICER/MEMBER EXCLUDED? If yes, describe under NO WC0100390-109 1/01/09 1/01/10 E.L. DISEASE —EA EMPLOYEE SPECIAL PROVISIONS below $ 1,000,000 E.L. DISEASE —POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Workers' compensation coverage is provided by contract to all employees of 02HR, LLC assigned to Dependable Janitorial. Coverage does not apply to any employees not approved and assigned by 02HR, LLC to Dependable Janitorial effective 01/01/2009 CERTIFICATE HOLDER ADDITIONAL INSURED: INSURER LETTER: CANCELLATION Monroe County Board of County Commission ATTN: Risk Management 1100 Simonton St. Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIONDATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORDTM CERTIFICATE OF LIABILITYDATE INSURANCE _ _ 09 l6 2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION TR JONES COMPANY/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE - HOLDER.' THIS•CERTIFICATE DOES NOT AMEND, EXTEND OR 227176 P : O - F : O - 14TER T14E COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 29611 - CHARLOTTE NC 28229 INSURERS AFFORDING COVERAGE INSURED t A: rtfiord # Casualt Ins Co DEPENDABLE JANITORIAL a[��SURE & BUILDING INSURER B: f MAINTENANCE, INC. 16 SHADY LN t r INSI�ER D: ' PALMETTO FL 34221 - ---- :. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR E�E MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I; I TR I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 21 SBA RM5 6 0 0 11 / 14 / 0 9 EACH OCCURRENCE $1, 0 0 0, 000 11 / 14 / 10 FIRE DAMAGE (Any one fire) js300, 000 i CLAIMS MADE XI OCCUR MED EXP (Any one person) j$101000 r X General Liab PERSONAL & ADV INJURY $1 , 0 0 0 , 0 0 0 GENERAL AGGREGATE $ 2, 0 0 0, 000 'i GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG js2,000,000 PRO - POLICY JECT X LOC AUTOMOBILE LIABILITY j ' ° q = COMBINED SINGLE LIMIT (Ea $ fi ANY AUTO accident) CI ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS N rl BODILY INJURY (Per person) $ NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE 40 (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY li ANY AUTO r OTHER THAN EA ACC $ $ AUTO ONLY: AGG yEXCESS A LIABILITY X EACH OCCURRENCE s2,000,000 JAGGREGATE $2 , 000 , 000 OCCUR u CLAIMS MADE 21 SBA RM5 6 0 0 11 / 14 / 0 9 11 / 14 / 10 $ DEDUCTIBLE $ X RETENTION $1 0, 000 $ i WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- JOTH- TORY LIMITS ER E.L. EACH ACCIDENT $ j' E.L. DISEASE - EA EMPLOYEE $ i E.L. DISEASE - POLICY LIMIT $ OTHER l I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 'Those usual to the Insured's Operations. Monroe County Board of County 'Commissioners is also an Additional Insured per the Business Liability I Coverage form, SS0008, attached to thin nil ; r_v da: _DER x I ADDITIONAL INSURED; INSURER LETTER: Monroe Co Board of Co. Attn: Risk Management 1100 Simonton St. Key West, FL 33040 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Commissioners 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED - SENTATIVE ACORD 25-S 17/97) O ACORD CORPORATION 1988 �ACCPREP CERTIFICATE OF DATE (MMIDDfYYYY) LIABILITY INSURANCE 11/18/2009 FAX 3p5: 248--�543 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION - IPRODUCER 345y 247 5121 ANQ CONFER NO RIGHTS UPON THE CERTIFICATE T.R. Janes & Company HIS CERTI ICATE. DOES NOT AMEND, EXTEND OR ad. bw COVE. E AFFORDED BY THE P+�JLICIES BELOW. 1180 l+T Kro�a+o Avenue HcM es teed FL 53030 INSURERS AFFO DING OVERAGE NAIC # INSURED .., l s Ut SUR� A. Dependable %Tanitorial & Bldg-. Mainten ace, Inc INSURER. B: Scotts le Insurance Co d Fire Insurance Co 19582 1S Shady Lane Pa" tt , Manatee FL 34221 COVERAGES INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BELOW`HAVE BEEN ISSUEDTOTHE OR OTHER DOCUMENT WITH RESPECT T WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN. REDUCED BY PAID CLAIMS. I N SR D'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MMtDDIYYYY DATE MMtDDNYYY R TYPE FINSURANCE EACH. nrC-UPPENC-E $ 1 000 000 GENERAL LIABILITY $ 10 0 0 0 0 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) , A ( CLAIMS MADE Fx_]OCCUR 660140SP338COF09 11/14/2.009 11/14/2010 MED EXP (Any one person) $ 5� 000 PERSONAL & ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 21000,000 PRODUCTS.- COMP/OP AGG $ 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY[71 PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY ANY AUTO , OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS t UMBRELLA LIABILITY R EACH OCCURRENCE $ 21000,000 OCCUR CLAIMS MADE C AGGREGATE. $ 21000,000 X D �/ $ B DEDUCTIBLE XB50005527 11/14/2009 11/1 4/2010 _ $__ - - X RETENTION $ 10 , 000 '� $ VVC STAT U- JOTH- WORKERS COMPENSATION TOY I I R AND EMIRLOYEtW LIABILITY Y / N E.L.EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECU I WE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below C OTHEROrime 00 TP 0255420-09 2/1//2009 2/1/2010 Employee Dishonesty $1, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT t SPECIAL PROVISIONS Certificate Holder is listed as Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County Commisslone DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 1100 Simonton Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Key West., 1% 33040 1. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE^ C coo ; T Jones Jr . /MWILS ACORD 25 (2009101) - Q 1988-2009 ACORD CORPORATION- All rights reserved- INS025 (200901) The ACORD name and logo are registered marks of ACORD DATIE CERTIFICATE OF LIABILITY INSURANCE 2/19/2010 PACER (305) 247-5121 FAX: (305) 248-8543 THIS C:ER TIFICATE I$ ISSUED AS A MATTER OF RFBRWIO"N T. R. Jones & Company 17 8'0 N Krone Avenue ONLY AND CONFERS NO RIGHTS UPON ' THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORD BY THE PIES BELOW., Homestead FL 33030 INSURERS AFFORDING COVERAGE. NA#C #' INSURED _ INSURER A. Travelers Dependable, Janitorial & Bldg. Maintenance, Inc INSURERS Scottsdale Inmwance Co 16 Shady Lana IAiSURER c: Hartford Fire Insurance co 19602 INSURER D: _ P tett , Manatee FL 34221 INSURER E: DO1tERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PANG CLAIMS. " INSR POLICY NUMBER PtH ICY I��r' tPIRA tI I utters GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Ea arc $ 190,000 A X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE 51] OCCUR 1660140OP3380OF09 11/14/2009 11/14/201© MEDEa Lone ) $�� 51000 PERSONAL 4 ADV INJURY $ 1, 000, 000' --_.--_--_-_____ GENERAL AGGREGATE $ 2,000,00z0 GEN'L AGGREGATE LIMIT APPLIES PER: POL ICY PRt} LOC _ PRODUCTS ,- CC MPIOP AGG $ 2do f3 000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ SODIL.Y INJURY (Per l ) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NO"WNED AUTOS B er accILY de t ) RY -- PROPERTY DAMAGE (per acc idont) ----- - i GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHI�R THAN EA ACC - AUTO ONLY: AGG $ ANY AUTO — -- $ ASS I UMBRELLA LIAIMLITY OCCUR MAIMS MADE f1 ' '' t. EACH OCCURRENCE $ 2 O00 QOO AGGREGATE $ 2 000 000 $ - B DEDUCTOLE X980005527 11/14/2009 1.1/14/2010 _ $ $ x RETENTION $,` 10 , 00 WO11�RS A,ANDEMPLt�YLSRS ANY t�ICERMEMBER WIf GOIf PERSA IO LIAEIILITY N. PROPRMTOR013AW"EIVEXECUTIVE;, EXCLUDED In NHj �a Ier IAL. PROVISIONS batow WC STATIh- OTH• .� E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE$ - E.L. DISEASE - POLICY LET --------- -- ----_.-. $ C OTHER OTP025542010 2/1/2010 2/1/2011 $1, i}tIU, aQa crime I ES NPTION € F OPERATIONS I LOCATMS I VEHICLES 1EXCLUSIONS ADDED BY E DORSEM T i SuPIECIAL'PROVISIONS Certi.fioate Solder is listed as Addit-Tonal" insured CI RTIFICATE H.MDER CANCILLCTIGN SHOULD ANY OF THE A9I31fIr [END POLICIES BE CANCELLED BEIKME THE 'IDI PIRATION Monroe County Board of County Conalssione 1100 Simonton Street Ivey West 330413 DATE THEREOF, THE ISSUING INSURER VNLL ENDEAVOR TO MAL 21 DAYS wmTTEN NOTM TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $0 SHALT. IMPS NO OSLIGRTION CAR LIABILITY OF ANY' KIND UPW THE INSURER, ITS AGENTS OR REPRESENTATIVES,.. A11THORIM REPRESENTATIVE T Jones Jr,/CRECIO ACORD 25 (2009101 ) 01988-2009 AACORD CORPORATION. 1LAIi Fights reserved. INStI25 (cxlsll1} The ACORD nalFrw *ad I r a# regiaftred ff*L&s of ACt' RD Atli arncc Insurance Solutions LLC PO S*x 1777 St Petersburg, FL 33731 7 Thrive Nit F11, LLO 8902 N. Oaale Mabry H" Su l ramps FL 3361 s :a NAM' 04T wjtA F t SUaJWY T —WE CFO WSWAM E1A4 t7�iM1� QED, L�lE�71r CMUS UAW OCCM 'l AQW46" g LAW AppLlES pat Did i M't1 lNyyl�► CM IEII►7i0MS it LOCA 000 j SEE$ I st oqi" 1y{�sDR& iY�Ep��1y�t>�T t�tll..1t+�! �a lr �.. Wd*d (W 00 104sed ef�j� hilt �i {#olftmi ii�..11� jw*odfi 1i 0 1 �� On R1: monmd CwjfKy Bairdat Cormisslarun Nbnr e County Risk lWanogment Aft Moni" Diaz 1100 Sknanton St Key Wet FL 33040 i�14 ACORO 25 (2M/91) r AEG ► grtianl ftRSO" "' WAAW UR s Uw • waw.v x+v PY[ p , 004 iA if 7fif. ". 44"Nga'V4LL W) OUMC31M Vo W& -.& DAY* WWMW '""Woo cWM" Hft=A KUM 7 tiL" ILSIR; iurtFi M.iEIE t }Ott p Sys t Simon NO OK"l%w QR w1AiY ITY or Amr MD U"* Tw oloo4k on Mwwl"as IR ,,Et lyu'Nra«i�+ +MlrirEEE 004oft flok 44/14w , �_:.. commew" WoRft Lo"ITY tA1NMMYIS mus c] OCCUR 11 IN R S MED 3CP tom PERS&4ft * AIN "WRY ...�...» OIL AOEtrM -d AY4 LW APPLIES HIES KWY LaC A '*NOW* VANA fT1t AWAiM1'O M WMM1' 0 ALL OVAMH'#i ±W W S WGCOHMI.GD AUTflB MyM w AtJTt l EN V MON-OWMMOD AVTOB S A �0 Ri'� pM1AA�x � {� 7� .. ♦M M EJ tY � #.Y EJ1 NT AWALom) �.. ron AN CA � rMstari M U► i AMiAIN,�11f a CLAIMS MOM� iACH i 4M s OWLICT101LE A 0OCK-0000W32- 1 l/Im10 1/1/20ti1 AMOM»UWjAjjjrr r M n Mr ION 4F 00MV00 t tJ[�CA7E oust Y6 m"S t MdMttumm Mwra h► ammim 't' t spermt. ro G o pM�aty *4 iw s laased employm but not subox of 090*rMtt�M * jw*odl at" c4vww co* Mwroe CourAy Risk Mesnagmerd Attu. Monique Oloz 1100 swooliton St Key Wed FL 33040 ACORD 25 ( sroI) IN,O ANYOM iiMM�J MiM�# sM$ C111MM�iLtM�! t11f8 f#�IAE'[liiM CAt14 i11El�Mfi ,1`!!L Mi YfN t MMisUM[ R 1[rILL M M iMMa!! YiV M1fMM. _ 0 * DAYS MIMIkY1MEN [iEDiIC�'�'CMiR�'MMrM�'1!'#'�"HW.OER'IWIH3?47HMf F.M#ii, faL�FAM{.i�E Tilit� 1111�4L.L "PON" QiL""Olf 00 W*A&M1Y aF ^MY KWD Won 7?ME g4oMIL WS J aWS at DQUOU Uok Aoa� ,t�,Za 0 imzm Acogo compmATM am- rlmswvsd. A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED ATE THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE RBY (S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Michelle Wilson T.R. Jones & Company PHONE —T FAX p y A/c No Ezt: (305) 247-5121 ac No: (305)248-8543 1780 N Krome Ave E-MAIL mwil@ sontrones.— — ADDRESS: j com PRODUCER 00002597 nrcrnuao in . Homestead FL 33030 _ INSURER(S) AFFORDING COVERAGE NAIC if INSURED INSURERA:Charter Oak Fire Insurance Co 25615 INSURERB:ScottSdale Insurance Co _ Dependable Janitorial & Bldg. Maintenance, Inc INsuRERc:Hartford Fire Insurance Co 16 Shady Lane 419682 INSURER D Palmetto, Manatee FL 34221 INSURER E — - -- - INSURER F : COVERAGES CERTIFICATE NUMBER:2010 GL/AMB/CRIME REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR N4 TR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/VYVVI fMM/DD/YVVV1 GENERAL LIABILITY i i I i LIMITS COMMERCIAL GENERAL LIABILITY A CLAIMS -MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: X I POLICY PRO — LOC AUTOMOBILE LIABILITY ANY AUTO __. I ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X_1 UMBRELLA LIAB OCCUR EXCESS LIAB I I CLAIMS -MADE DEDUCTIBLE I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) ❑ If yes, describe under C Crime -Employee Theft 6601408P338IND10 I11/14/2010 _ A 1 n EACH OCCURRENCE $ 1, 000, 000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 /14/2011 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 P 4 ^3 nA IS0011362 111/14/2010I11/14/2011 TP025542010 2/1/2010 j2/1/2011 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is listed as Additional Insured TION COMBINED SINGLE LIMIT $ (Ea accident) BODILY 11JURY (Per person) $ —BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) EACH OCCURRENCE $ 2, OOO, 000 AGGREGATE $ 2,000,000 $ E.L. EACH ACCIDENT_ _ I $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT I $ Limit $ 11000,00 Deductible $ 10,00 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County COmmiSsione ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE C G ' % a -a.., (J2 _. T Jones Jr. /MWILS ACORD 25 (2009/09) 01988-2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD ® A� o CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 6/29/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLnAND1 NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY 3 I!tT'A701ETER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES N BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE RTIFICA HOLDER. IMPORTANT: If the certificate holder is an AD 1TIONAL INSURED, thebe endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain licies may muirq aq atement on this certificate does not confer rights to the certificate holder in lieu cf such endorsement(s) JUIVL PRODUCER T.R. Jones & Company MOTIROE N Krome Ave RISKMANAmwils Homestead FL 33030 le Wilson kuMich . (30 )247-5121 FAX(305)248-8543 ac No1780 n@trjones.com CUSTOMER 00002597 INSURER(S) AFFORDING COVERAGE NAIC # _ INSURED Dependable Janitorial & Bldg. Maintenance, Inc 16 Shady Lane Palmetto, Manatee FL 34221 INSURER A:Charter Oak Fire Insurance Co 25615 INSURERB:Scottsdale Insurance Co INSURERC:Hartford Fire Insurance Cc 19682 INSURER D : INSURER E : INSURERF: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRrGENERAL F INSURANCE L IN IN R UB D POLICY NUMBER POLICY EFF MMIDD POLICY EXP MM/DD/YYYY LIMITS EACH OCCURRENCE $ 1,000,000 DAMA T REN E100,000 PREMISES Ea occurrence $AADE GENERAL LIABILITY MED EXP (Any one person) $ 5,000 [] OCCUR I6601408P3381NDIO 11/14/2010 11/14/2011 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X POLICY PE LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED AUTOS PROPERTY DAMAGE (Per accident) 'I$ SCHEDULED AUTOS HIRED AUTOS 3�- I $ NON -OWNED AUTOS y X UMBRELLA LIAB OCCUR { , EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE IV; DEDUCTIBLE RETENTION $ $ B 90011362 11/14/201011/14/2011 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA /^f l,�`" y - �U (� �{� WC STATU- LIMITS I OTRH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ It yes, describe under DESCRIPTION OF OPERATIONS below C Crime —Employee Theft OOTP025542010 /1/2011 /1/2012 Limit $ 1,000,000 Deductible $ 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Certificate holder included as additional insured as respects general liability where required by written contract. This form is subject to policy terms conditions & exclusions. ULK I I1-1t;A I t MULUtK Monroe County Board of County Commissione 1100 Simonton Street Key West, FL, 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE T Jones Jr./MWILS / ACORD 25 (2009/09) W 1:f88-AUIVU A,U cv %.Vr%l I 1V11. Nu nynw IW001 VOU. INS025 (200909) The ACORD name and logo are registered marks of ACORD ACCP CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 7/7/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIF IMPORTANT: If the certificate holder is an ADDITION L INSUR I ust be eni lorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies ay require an endorsement. A statem t on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Alliance Insurance Solutions LLC JUL O NAME: PO Box 1777 PHONE C No Ext :727- 97-1247 FAX A/C No): 727-497-1280 St Petersburg, FL 33731 E-MAIL ADDRESS: MO E COUNTY INSURE S AFFORDING COVERAGE NAIC # RISK M QW K17 InSig ce "-mDanv 34762 INSURED INSURER B : Worklife HR, Inc. 700 Tower Drive INSURER C : Suite 220 INSURERD: Troy MI 48098 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 10622602 REVISION NUMBER' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR rypE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ]] OCCUR DAMA�ETO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ �GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 8 �jX. \^v► EOMaBIINdEeDtSINGLE LIMIT $ BODILY INJURY (Per person) $Per BODILY INJURY accident ( ) $ NON -OWNED HIREDAUTOS .AUTOS ,. �".11 --'I PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED Ll RETENTION $ $ Cul $ r A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under N / A WCPE0000004701 _ ^I j ! ` V 8/14/2010 8/14/2011 V� STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Coverage provided for all leased employees but not subcontractors of: Dependable Janitorial & Building Maintenance, Inc. Location Effective: 10/6/2010 0—C. 411-6?J1 64--, CERTIFICATE HOLDER CANCELLATION HR2-005 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. AUTHORIZED REPRESENTATIVE Key West FL 33040 �Q Glen J Distefano ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 10622602 Linda Weal 7/7/2011 8:57:03 AM Page 1 of 1 ® A OO l`/J,RDCERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD 011 10i28i2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF IFINOT (BAWD CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEE�C;TRACT THE OTHERAGE BY BELOW. THIS CERTIFICATE OF INSURANCE DOE NSURER(S),THE AUTHOR AUES ISSUINGORDED �( TWEEN THORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIATEDER. IMPORTANT: If the certificate holder is an ADDITIOED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polici"an er jor,�Jjient. A sta ment on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER & Brown of Florida, Inc.ONROE CONTACT Ashle tefanel1 NAME: yBrown (305) 47-5121 FAX.(305)248-8543 .Ikstefa 11@bbhomestead.com dba T.R. Jones & Co. K MAN 1780 N Krome Ave INSURERS AFFORDING COVERAGE NAIC # INSURER A:Travel era Indemnity Company 5658 Homestead FL 33030 INSURED INSURERB:SCOttsdale Insurance Company 1297 INSURER C:Hartf ord Fire Insurance Co 19682 Dependable Janitorial & Bldg. Maintenance, Inc INSURER D : 16 Shady Lane INSURER E : INSURERF: Palmetto, Manatee FL 34221 1%r%UV0 nCQ CERTIFICATE NIIMRFRII Liability REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF M DD YYY POLICY EXP M YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMA E To RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 A CLAIMS -MADE DOCCUR -660-1408P338-IND-11 1/14/2011 1/14/2012 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X POLICY PRO LOC AUTOMOBILE LIABILITY(Ea aocideDiSINGLE LIMIT BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED (�,.] _ BODILY INJURY (Per accident) $ AAUTOS UTOS NON -OWNED HIRED AUTOS AUTOS ' ` , PROPERTY DAMAGE Per accident) $ $ V1� X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 B EXCESS LIAB CLAIMS -MADE BS0018238 /14/2011 1/14/2012 DED RETENTION $ WORKERS COMPENSATION OTH- IWC STATU-FIR AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE b- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A ` E.L. DISEASE - POLICY LIMIT $ If yes, describe under .DOF OPERATIONS below ` C Crime - Employee Theft OTP0255420-11 /1/2011 /1/2012 Limit $1,000,000 Deductible $10, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder included as additional insured as respects general liability where required by written contract. This form is subject to policy terms conditions & exclusions. CC ;tea n ce, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissione 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE T Jones Jr./ASHLST ACORD 25 (2010/05) INS025 (201005).01 V' lUt$t$--LUIU AGUHU L,UKrUNiA I Ivry. Hn ngnw tebrsrvcU. The ACORD name and logo are registered marks of ACORD AC40R L?® CERTIFICATE OF LIABILITY INSURANCE 2/l/2o 2 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Brown & Brown of Florida, Inc. dba T.R. Jones & Co.E-MAILADDRESS 1780 N Krome Ave Homestead FL 33030 CONTACT Ashley Stefanell PHONE (305)247-5121 AICFAX Nok (305)248-8543 .astefanell@bbhomestead.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Travelers Indemnity Company 5658 INSURED Dependable Janitorial & Bldg. Maintenance, Inc 16 Shady Lane Palmetto, Manatee FL 34221 INSURER B :Scottsdale Insurance Company 41297 INSURERC:Hartford Fire Insurance Cc 19682 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:ll Liability REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_1 OCCUR I-660-1408P338-IND-11 11/14/2011 11/14/2012 DAMAGE TO RENTE17- PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS APPROV D B W A W _ n �n V/r �(� Llr LIMIT (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ - X UMBRELLA LIAB OCCURI/ EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 B EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ S0018238 11/14/2011 11/14/2012 WORKERS COMPENSATION WC RYSTATU- OTH- ER AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Crime - Employee Theft OTP0255420-12 /1/2012 /1/2013 Limit $1,000,000 Deductible $10 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder included as additional insured as respects general liability where required by written contract. This form is subject to policy terms conditions & exclusions. Monroe County Board of County Commission 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) INS025 r?ninnso m T Jones Jr./ASHLST �7�_ ©1988-2010 ACORD CORPORATION. All rights reserved. Thn Af npn name and Inn^ am ranie4nrarl marlre of Ad`()Dn 1 ® ACC)R o CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) F 2/1/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Brown & Brown of Florida, Inc. dba T.R. Jones & Co. 1780 N Krome Ave Homestead FL 33030 NAAMEACT Ashley Stefanell PHONE . (305)247-5121 FAX Nol- ADDRESS: astefanell@bbhomestead. com INSURERS AFFORDING COVERAGE NAIC N INSURERA:Travelers Indemnity Company 5658 INSURED Dependable Janitorial & Bldg. Maintenance, Inc 16 Shady Lane Palmetto, Manatee FL 34221 INSURER B :Scottsdale Insurance Company 41297 INSURER C:Hartf ord Fire Insurance Co 19682 INSURER D : INSURER E : INSURERF: LUVCIKAUrO %rCRI IF-IV/11 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR A INSURANCE TYPE OF I GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR POLICY NUMBER I-660-1408P338-IND-11 POLICY EFF MMIDDIYYYY 11/14/2011 POLICY EXP MMIDDIYYYY 11/14/2012 LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGE100 PREMISES Ea occurrence $ 000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 APPROV D B ISK GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY M PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BY ANY AUTO SCHEDULED ALL OWNEDAUTO AUTOS NON -OWNED HIRED AUTOS HAUTOS DA �- W �rL,�`, r,�p,�(i Lk ((JJ jfi w BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE -FRG ICi/ S0018238 11/14/201111/14/2012 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2 r 000,000 WC STATU- OTH- $ DED RETENTION WORKERS COMPENSATION E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N / A If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Crime - Employee Theft OTP0255420-12 /1/2012 /1/2013 Limit $1,000,000 Deductible $10, 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder included as additional insured as respects general liability where required by written contract. This form is subject to policy terms conditions & exclusions. it Monroe County Board of County Commissione 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) INS(125 oninns) m Jones Jr./ASHLST �)�_ r\ nAnnn�AT1A\1 A11 hfe .ne arl G I�VV-LV I V I'9vv..v vv... v•v_.._._. Tho ar non n2mo 2nrl Inns 2ro ronic4ororl marirc of ar nion